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Chris Diederich, LCSW
Clinical Social Worker in Indianapolis, Indiana
NPI 1821016700

Chris Diederich is a Clinical Social Worker based in Indianapolis, IN and is specialized in Clinical. Chris Diederich practices in Indianapolis, IN and has the professional credentials of LCSW. The NPI Number for Chris Diederich is 1821016700 and holds a License No. 39000598A (Indiana).

The current practice location address for Chris Diederich is 2040 N Shadeland Ave, Indianapolis, IN and can be reached out via phone at 317-355-5009.

Location: 2040 N Shadeland Ave, Indianapolis, IN, 46250-2890
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821016700
Provider Name
Chris Diederich
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
2040 N Shadeland Ave, Indianapolis, IN, 46250-2890
Phone Number
317-355-5009
Fax Number
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000390191 01 IN ANTHEM BCBS PROVIDER PIN
institution
Provider Business Practice Location Address Details
Address
2040 N Shadeland Ave
City
Indianapolis
State
Indiana
Zip
46219-1711
Phone Number
317-355-5009
Fax Number
person
Provider Business Mailing Address Details
Address
2040 N Shadeland Ave
City
Indianapolis
State
Indiana
Zip
46219-1711
Phone Number
317-355-5009
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
34004362A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
39000598A (Indiana)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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