Whalio Doctors

NPI 1083666143

Larry Dale Squires, LCSW

Practitioner Clinical Social Worker Greencastle, IN

Practice location

Address
308 Medic Way, Greencastle, IN 46135-2296
Phone
(765) 653-2669
Fax
(765) 653-8671
Mailing address
9501 W Wolf Mountain Rd, Gosport, IN 47433-9597

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 34001063A (IN)

Registry record

NPI
1083666143
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 May 2006
Record last updated
13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.