Organization Active NPI

Heather Sutton LCSW LLC

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1023505682
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34001280A Issued in IN
Legal business name
HEATHER SUTTON LCSW LLC
Practice address
3650 E 46TH St
Indianapolis, IN 46205-1610
Phone
(317) 455-5375
Fax
(844) 716-2705
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Heather Sutton, LCSWNPI 1891910634
Title
Licensed Clinical Social Worker
Phone
(317) 455-5375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 34001280A IN Primary

Addresses

Primary practice location

3650 E 46TH St
Indianapolis, IN 46205-1610

Mailing address

11630 Eden Estates Dr
Carmel, IN 46033-3247
Phone (317) 455-5375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180504000486 IN Part B Supplier - Clinic/Group Practice 8022372705 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1023505682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 EDEN ESTATES DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460333247",
            "telephone_number": "317-455-5375",
            "fax_number": "844-716-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 E 46TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051610",
            "telephone_number": "317-455-5375",
            "fax_number": "844-716-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER SUTTON LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "317-455-5375",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001280A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.