Basic Information
Provider Information
NPI: 1548890213
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OCHS
FirstName: CALA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SMITH
OtherFirstName: CALA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: LCSW
OtherLastNameType: 1
Mailing Information
Address1: 16179 LARIMAR DR
Address2:  
City: NOBLESVILLE
State: IN
PostalCode: 460605015
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1525 N RITTER AVE
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 462193026
CountryCode: US
TelephoneNumber: 3173595467
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/22/2020
LastUpdateDate: 07/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X34008739AINY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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