Provider Demographics
NPI:1861516387
Name:JAMES, DAVID MICHAEL (MSW)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MICHAEL
Last Name:JAMES
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 E VERMONT ST STE 7
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3688
Mailing Address - Country:US
Mailing Address - Phone:317-360-3942
Mailing Address - Fax:844-832-4530
Practice Address - Street 1:429 E VERMONT ST STE 7
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-3688
Practice Address - Country:US
Practice Address - Phone:317-360-3942
Practice Address - Fax:844-832-4530
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87000447A101YA0400X
IN34003818A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)