Individual provider Active NPI

Branda-Lee Maurushes, LCSW

  • Clinical Social Worker
  • Valparaiso, IN
National Provider Identifier
1073398244
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010471A Issued in IN
Practice address
2507 Cumberland Dr
Valparaiso, IN 46383-2503
Phone
(219) 531-3500
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 34010471A IN Primary

Addresses

Primary practice location

2507 Cumberland Dr
Valparaiso, IN 46383-2503

Mailing address

105 McKinley St
Valparaiso, IN 46383-3546
Phone (219) 333-6242

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
I20231010002874 IN Practitioner - Clinical Social Worker 2567817695 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Porter-Starke Services Inc. CurrentSince Sep 21, 2023 Accepting new patients
Porter-Starke Services Inc. CurrentSince Sep 21, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Sep 16, 2023 Accepting new patients
Porter-Starke Services Inc. Past Accepting new patients
Porter-Starke Services Inc. Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3229 Broadway
Ste 104
Gary, IN 46409
Phone (219) 487-5800

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

3176 Lancer St
Ste B
Portage, IN 46368
Phone (219) 806-3000

2507 Cumberland Dr
Valparaiso, IN 46383
Phone (219) 476-4676

601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011

Organizations & group practices 5

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1073398244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MCKINLEY ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833546",
            "telephone_number": "219-333-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 CUMBERLAND DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832503",
            "telephone_number": "219-531-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURUSHES",
        "first_name": "BRANDA-LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010471A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.