Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Judy A Bannister, LCSW, LCAC, SAP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518300672

Judy A Bannister, LCSW, LCAC, SAP is an Addiction (Substance Use Disorder) Counselor in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2013
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

5455W 86th St 102
Indianapolis, IN 46268-1536
Phone: (317) 762-0888
Fax: (317) 203-0983
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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 34004283A (IN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 87001400A (IN)

Record details

NPI number1518300672
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCAC , SAP
Sole proprietorYes
NPI enumeratedApril 9, 2013
Last updated in NPPESApril 29, 2016

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