Individual provider Active NPI

Mary Waling

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1033697149
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008208A Issued in IN
Practice address
2160 N Illinois St
Indianapolis, IN 46202-1334
Phone
(317) 937-3700
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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 34008208A IN Primary

Addresses

Primary practice location

2160 N Illinois St
Indianapolis, IN 46202-1334

Mailing address

PO Box 4323
Terre Haute, IN 47804-0323

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
I20180808003833 IN Practitioner - Clinical Social Worker 2163770025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Behavioral Health LLCGroup PAC ID 4587834874, 132 clinicians

Practice addresses (Care Compare)

10967 Allisonville Rd
Suite 240
Fishers, IN 46038-2634
Phone (812) 401-8008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008208AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Behavioral Health LLC CurrentSince May 1, 2019 Accepting new patients
Hamilton Center Inc. CurrentSince Jul 17, 2018 Accepting new patients
Hamilton Center, Inc. CurrentSince Jul 17, 2018 Accepting new patients

Locations

7300 E Indiana St
Ste 103
Evansville, IN 47715
Phone (812) 401-8008

10967 Allisonville Rd
Ste 240
Fishers, IN 46038
Phone (317) 436-1222

8920 Southpointe Dr
Ste E1
Indianapolis, IN 46227
Phone (317) 851-1004

620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200

Interoperability endpoints

  • Direct secure messaging: mbh.marywaling@140099.advancedmd-direct.com

Organizations & group practices 3

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1033697149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4323",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478040323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 N ILLINOIS ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021334",
            "telephone_number": "317-937-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALING",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008208A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.