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

Amdaway Ibrahim, LCSW

Individual provider Mental Health Counselor · NPI 1366067159

Amdaway Ibrahim, LCSW is a Clinical Social Worker in Indianapolis, Indiana. Qualified in 2009, 17 years ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
17
Licensed in
IN
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

9165 Otis Ave Ste 227
Indianapolis, IN 46216-2318
Phone: (317) 207-7010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (IN)

Record details

NPI number1366067159
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 8, 2020
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated

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