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

Individual provider Clinical Social Worker · NPI 1730810342

MS. Nicaeli Grace Theobald, LCSW is a Clinical Social Worker in Indianapolis, Indiana. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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

5638 Professional Cir
Indianapolis, IN 46241-5042
Phone: (888) 714-1927
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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

Record details

NPI number1730810342
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 23, 2022
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

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