Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renae Clark-Weatherly

Organization Case Management Agency · NPI 1275043069

Renae Clark-Weatherly is a Case Management Agency in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
Specialties on file
3

Practice location Address checks out

4126 E 10th St
Indianapolis, IN 46201-2613
Phone: (317) 686-0931
Fax: (866) 406-5077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X · Licence 99064493A (IN)
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 99074128A (IN)

Record details

NPI number1275043069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renae Clark-Weatherly — Therapist · (317) 222-9704
NPI enumeratedOctober 5, 2017
Last updated in NPPESSeptember 1, 2024
Certification dateSeptember 1, 2024
Mailing address5126 Guion Rd, Indianapolis, IN 46254-1725

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