Charla Jeanne Hazen, LCSW is a
Social Worker - Clinical based in Elwood, Indiana. Charla Jeanne Hazen is licensed to practice in Indiana (license number 34003501A) and her current practice location is
1448 S A St, Elwood, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 552-4611.
NPI number for Charla Jeanne Hazen is 1841273711 and her current mailing address is 10330 N Meridian St, Suite 201, Indianapolis, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841273711.
Healthcare Provider's Profile
| Full Name | Charla Jeanne Hazen |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1448 S A St, Elwood, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841273711
- Provider Enumeration Date: 11/23/2005
- Last Update Date: 06/28/2008
Medical Identifiers
Medical identifiers for Charla Jeanne Hazen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841273711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 39000690A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34003501A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charla Jeanne Hazen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Charla Jeanne Hazen, LCSW 10330 N Meridian St, Suite 201, Indianapolis, IN 46290-1024 Ph: () - | Charla Jeanne Hazen, LCSW 1448 S A St, Elwood, IN 46036-1903 Ph: (765) 552-4611 |
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