Individual provider Active NPI

Janet Sue Storm, LCSW, LMFT

  • Clinical Social Worker
  • Greenwood, IN
National Provider Identifier
1003827882
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34000823 Issued in IN
Practice address
1602 W Smith Valley Rd # 6
Greenwood, IN 46142-1550
Phone
(317) 865-0183
Fax
(317) 885-7137
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 34000823 IN Primary

Addresses

Primary practice location

1602 W Smith Valley Rd # 6
Greenwood, IN 46142-1550

Mailing address

PO Box 47461
Indianapolis, IN 46247-0461
Phone (317) 865-0183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070427000347 IN Practitioner - Clinical Social Worker 0941306559 Practice locations: Greenwood, IN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34000823INMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1003827882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47461",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462470461",
            "telephone_number": "317-865-0183",
            "fax_number": "317-885-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W SMITH VALLEY RD # 6",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421550",
            "telephone_number": "317-865-0183",
            "fax_number": "317-885-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORM",
        "first_name": "JANET",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.