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Contact Information

KYLE B CIRESI, MSW, LCSW, LCAC
3209 W SMITH VALLEY RD
GREENWOOD, IN46142-8495
 Phone: 317-509-0837
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KYLE B CIRESI · (Female)

NPI Number 1134383029
Status Active
Credentials MSW, LCSW, LCAC
Entity Individual
Enumeration date 07/10/2008
Last updated 07/19/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 34005803A
  • IN Medicaid 100264520
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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