Individual provider Active NPI

Aby Wischmeier, LCSW

  • Clinical Social Worker
  • Greenwood, IN
National Provider Identifier
1043571219
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006524A Issued in IN
Practice address
1217 Thornmeadow Cir
Greenwood, IN 46143-3107
Phone
(317) 441-2914
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 33005231A IN
Clinical Social Worker 1041C0700X 34006524A IN Primary

Addresses

Primary practice location

1217 Thornmeadow Cir
Greenwood, IN 46143-3107

Mailing address

1217 Thornmeadow Cir
Greenwood, IN 46143-3107
Phone (317) 442-1747

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
I20141121002165 IN Practitioner - Clinical Social Worker 6507001062 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33005231AINMDSchool Social Worker

Interoperability endpoints

  • Direct secure messaging: aby.wischmeier.p1@direct.adultandchild.nextgenshare.com

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1043571219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 THORNMEADOW CIR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461433107",
            "telephone_number": "317-442-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 THORNMEADOW CIR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461433107",
            "telephone_number": "317-441-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISCHMEIER",
        "first_name": "ABY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IN",
            "license": "33005231A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006524A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.