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

Chris Diederich, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821016700

Chris Diederich, LCSW is a Clinical Social Worker in Indianapolis, Indiana. Qualified in 2000, 26 years ago. Practices with Adult and Child Mental Health Center Inc, a 35-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
26
Licensed in
IN
In the registry since
2006
Specialties on file
2
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

2040 N Shadeland Ave Ste 250
Indianapolis, IN 46219-1711
Phone: (317) 355-5009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34004362A (IN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 39000598A (IN)

Record details

NPI number1821016700
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESApril 12, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Adult And Child Mental Health Center Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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