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Provider Information for 1437675519


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EMILY MORIARITY LCSW


Sex: Female

NPI: 1437675519
Last Updated: 2020-11-23
Certification Date: 2020-11-23

Details

NameValue
NPI1437675519
Enumeration Date2017-08-21
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
United States

Phone: 317-359-5467 | Fax:
 
Primary Practice Address 1525 N RITTER AVE
INDIANAPOLIS, IN 46219-3026
United States

Phone: 317-359-5467 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Direct Messaging Address
ESABAU130799@ECOMMUNITYDIRECT.COM
1525 N Ritter Ave
Indianapolis, IN 46219-3026
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalIN34007904A