Individual provider Active NPI

Ellen Minter, LCSW

  • Clinical Social Worker
  • Merrillville, IN
National Provider Identifier
1053910497
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008991A Issued in IN
Practice address
7108 Broadway Apt 1a
Merrillville, IN 46410-3469
Phone
(219) 810-5372
NPI assigned
Oct 17, 2020
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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 34008991A IN Primary

Addresses

Primary practice location

7108 Broadway Apt 1a
Merrillville, IN 46410-3469

Mailing address

8101 Polo Club Dr Ste 6
Merrillville, IN 46410-5870
Phone (219) 810-5372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210726001981 IN Practitioner - Clinical Social Worker 9032512207 Reassigns benefits to 1 organization
I20211101002005 MA Practitioner - Clinical Social Worker 9032512207 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jul 20, 2021 Accepting new patients
Mental Maneuvers Counseling, LLC Current Accepting new patients

Locations

250 Main St
Ste 420
Lafayette, IN 47901
Phone (219) 885-3441

9245 Calumet Ave
Ste 100I
Munster, IN 46321

872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone (617) 395-5806

375 Totten Pond Rd
Ste 408
Waltham, MA 02451

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1053910497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 POLO CLUB DR STE 6",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105870",
            "telephone_number": "219-810-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 BROADWAY APT 1A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103469",
            "telephone_number": "219-810-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTER",
        "first_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2023-02-07",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008991A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.