Individual provider Active NPI

Lawanda Girton, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1033865373
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008666A Issued in IN
Practice address
5051 Robinsrock Way
Indianapolis, IN 46268-4011
Phone
(615) 596-0750
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 34008666A IN
Clinical Social Worker 1041C0700X 34008666A IN Primary

Addresses

Primary practice location

5051 Robinsrock Way
Indianapolis, IN 46268-4011

Mailing address

5051 Robinsrock Way
Indianapolis, IN 46268-4011
Phone (615) 596-0750

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.mynewmentality.com

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34008666AINMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1033865373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 ROBINSROCK WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684011",
            "telephone_number": "615-596-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 ROBINSROCK WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684011",
            "telephone_number": "615-596-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRTON",
        "first_name": "LAWANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "34008666A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008666A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mynewmentality.com",
            "affiliation": "N",
            "address_1": "5051 Robinsrock Way",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462684011",
            "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 Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.