Provider Demographics
NPI:1346778800
Name:LITHERLAND, ZACHARY RYAN (LCSW)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:RYAN
Last Name:LITHERLAND
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 PRO MED LN
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-5327
Mailing Address - Country:US
Mailing Address - Phone:812-463-2081
Mailing Address - Fax:317-816-4775
Practice Address - Street 1:695 PRO MED LN STE 206
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5331
Practice Address - Country:US
Practice Address - Phone:812-463-2081
Practice Address - Fax:317-816-4775
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34009016A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical