Provider Demographics
NPI:1124069935
Name:VOREIS, GERRI L (LCSW)
Entity type:Individual
Prefix:
First Name:GERRI
Middle Name:L
Last Name:VOREIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GERRI
Other - Middle Name:L
Other - Last Name:VOREIS-MADDUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:950 NORTH MERIDIAN STREET
Mailing Address - Street 2:STE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-3908
Mailing Address - Country:US
Mailing Address - Phone:317-962-4945
Mailing Address - Fax:317-962-4950
Practice Address - Street 1:8820 S MERIDIAN ST
Practice Address - Street 2:SUITE 120
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46217-6056
Practice Address - Country:US
Practice Address - Phone:317-865-6922
Practice Address - Fax:317-962-6930
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN340012371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN676310KMedicare PIN
IND46997Medicare UPIN