Provider Demographics
NPI:1689407629
Name:DAY, SHARADA (BSW)
Entity type:Individual
Prefix:
First Name:SHARADA
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:SHARADA
Other - Middle Name:
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2726 N TEMPLE AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46218-2774
Mailing Address - Country:US
Mailing Address - Phone:317-985-3309
Mailing Address - Fax:
Practice Address - Street 1:2726 N TEMPLE AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-2774
Practice Address - Country:US
Practice Address - Phone:317-985-3309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X, 171W00000X, 172A00000X, 172V00000X, 174200000X, 251B00000X
IN251B00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171W00000XOther Service ProvidersContractor
No172A00000XOther Service ProvidersDriver
No172V00000XOther Service ProvidersCommunity Health Worker
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management