| Doctor Name: | AIMEE M NIELSEN |
| NPI Number: | 1023290137 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 34005917A |
| Business Practice Address: | 10765 Lantern Road Suite 102 Fishers, IN - 460383597 |
| Business Phone Number: | 3176214181 |
| Business Fax Number: | 3176214182 |
| Mailing Address: | 10765 Lantern Road, Suite 102 FISHERS |
| State: | IN |
| Postal Code: | 460383597 |
| Phone Number: | 3176214181 |
| Fax Number: | 3176214182 |
| NPI Enumeration Date: | 11/30/2007 |
| NPI Last Update Date: | 05/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34005917A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |