Individual provider Active NPI

Michelle Sweeney Stan, LCSW

  • Clinical Social Worker
  • Saint John, IN
National Provider Identifier
1033908801
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004493A Issued in IN
Practice address
11638 Leonardo Dr
Saint John, IN 46373-9447
Phone
(219) 789-5159
NPI assigned
May 6, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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 34004493A IN Primary

Addresses

Primary practice location

11638 Leonardo Dr
Saint John, IN 46373-9447

Mailing address

11638 Leonardo Dr
Saint John, IN 46373-9447
Phone (219) 789-5159

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
I20251202000609 IN Practitioner - Clinical Social Worker 8820581697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

326 E US Hwy 30
Schererville, IN 46375-2654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34004493AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pillars of Wellness CurrentSince Nov 21, 2025 Accepting new patients

Locations

326 E US Highway 30
Schererville, IN 46375
Phone (219) 323-3311

Organizations & group practices 1

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": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1033908801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11638 LEONARDO DR",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739447",
            "telephone_number": "219-789-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11638 LEONARDO DR",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739447",
            "telephone_number": "219-789-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAN",
        "first_name": "MICHELLE",
        "middle_name": "SWEENEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004493A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, IN

Sources for this page

Verify at the official NPI Registry.