Individual provider Active NPI

Bartley Allen Cambridge, LCSW

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1023215142
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004012A Issued in IN
Practice address
645 S Rogers St
Bloomington, IN 47403-2353
Phone
(812) 339-1691
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW17800 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X 87000109A IN
Clinical Social Worker 1041C0700X 149025042 IL
Clinical Social Worker 1041C0700X SW17800 FL
Clinical Social Worker 1041C0700X 34004012A IN Primary

Addresses

Primary practice location

645 S Rogers St
Bloomington, IN 47403-2353

Mailing address

645 S Rogers St
Bloomington, IN 47403-2353

Other practice location 1

8470 Allison Pointe Blvd Ste 130
Indianapolis, IN 46250-4368
Phone (317) 554-4220

Other identifiers 1

IdentifierTypeStateIssuer
116999100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071218000523 IN Practitioner - Clinical Social Worker 1355431032 Reassigns benefits to 2 organizations
I20230225000377 FL Practitioner - Clinical Social Worker 1355431032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerstone of Indiana IncGroup PAC ID 9436138427, 114 clinicians

Practice addresses (Care Compare)

1530 N Commerce W Dr
Greensburg, IN 47240-3205
Phone (812) 663-7057

720 N Marr Rd
Columbus, IN 47201-6660
Phone (812) 314-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87000109AINMDAddiction (Substance Use Disorder) Counselor
149025042ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Community Health Inc CurrentSince Jan 31, 2023 Accepting new patients
Adult and Child Mental Health Center Inc CurrentSince Feb 16, 2024 Accepting new patients
Centerstone of Indiana, Inc. Current Accepting new patients
Centerstone of Indiana, Inc. CurrentSince Jul 21, 2025 Accepting new patients
Treasure Coast Community Health Inc CurrentSince Jan 31, 2023 Accepting new patients
Adult and Child Mental Health Center Inc Mental Health CurrentSince Feb 16, 2024 Accepting new patients
Central Indiana OB/GYN, LLC Past Accepting new patients
Amh, Inc Mental Health Past Accepting new patients

Locations

12196 County Road 512
Fellsmere, FL 32948
Phone (561) 571-8828

1553 US Highway 1
Vero Beach, FL 32960
Phone (772) 562-3234

1545 9th St SW
Vero Beach, FL 32962
Phone 77225782241908

645 S Rogers St
Bloomington, IN 47403
Phone (812) 339-1691

720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400

1860 Northwood Plz
Franklin, IN 46131
Phone (317) 346-2000

8320 Madison Ave
Indianapolis, IN 46227
Phone (317) 881-7061

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1023215142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S ROGERS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S ROGERS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032353",
            "telephone_number": "812-339-1691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8470 Allison Pointe Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462504368",
            "country_code": "US",
            "telephone_number": "317-554-4220",
            "fax_number": "317-554-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMBRIDGE",
        "first_name": "BARTLEY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW17800",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000109A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025042",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004012A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116999100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.