Individual provider Active NPI

Thelma Moore, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1003152596
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006639A Issued in IN
Practice address
355 W. 16TH St.
Ste. 3200
Indianapolis, IN 46202-2207
Phone
(317) 963-7407
Fax
(317) 963-7533
NPI assigned
Jan 2, 2013
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34006639A IN Primary

Addresses

Primary practice location

355 W. 16TH St.
Ste. 3200
Indianapolis, IN 46202-2207

Mailing address

250 N Shadeland Ave
Suite 130
Indianapolis, IN 46219-4959
Phone (317) 963-0954

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmoore8303@direct.eskenazihealth.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.43
Promoting interoperability
100
Improvement activities
40
Cost
82.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006639AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Health and Hospital Corporation of Marion County Current Accepting new patients
Indiana Clinic-Neurology, LLC PastSince Jun 1, 2016 Accepting new patients

Locations

1650 N College Ave
Ste B
Indianapolis, IN 46202
Phone (317) 880-0888

1700 N Illinois St
Indianapolis, IN 46202
Phone (317) 554-5700

2505 N Arlington Ave
Indianapolis, IN 46218
Phone (317) 554-5200

2700 Martin Luther King Jr St
Indianapolis, IN 46208
Phone (317) 931-4300

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

3171 N Meridian St
Indianapolis, IN 46208
Phone (317) 941-5003

3840 N Sherman Dr
Indianapolis, IN 46226
Phone (317) 541-3400

5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838

5610 Crawfordsville Rd
Ste 2201
Indianapolis, IN 46224
Phone (317) 244-2792

6940 Michigan Rd
Ste 140
Indianapolis, IN 46268
Phone (317) 266-2901

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

9443 E 38th St
Indianapolis, IN 46235
Phone (317) 890-2100

Interoperability endpoints

  • Direct secure messaging: tmoore8303@direct.eskenazihealth.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1003152596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "SUITE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "317-963-0954",
            "fax_number": "317-962-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W. 16TH ST.",
            "address_2": "STE. 3200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022207",
            "telephone_number": "317-963-7407",
            "fax_number": "317-963-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "THELMA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006639A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmoore8303@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "720 Eskenazi Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.