Provider Demographics
NPI:1720967961
Name:MELDGIN, CASEY (MSW)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:MELDGIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8042 CROSSING DR APT E
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-9027
Mailing Address - Country:US
Mailing Address - Phone:219-292-6894
Mailing Address - Fax:
Practice Address - Street 1:5055 E US HIGHWAY 36 STE 100
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-6533
Practice Address - Country:US
Practice Address - Phone:888-714-1927
Practice Address - Fax:317-272-1713
Is Sole Proprietor?:No
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99132398A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker