Individual provider Active NPI

Mayme Siders, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1073990255
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010214A Issued in IN
Practice address
955 S Hebron Ave Ste C
Evansville, IN 47714-4085
Phone
(931) 338-3794
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0006415 TN
Clinical Social Worker 1041C0700X 7404 TN
Clinical Social Worker 1041C0700X 34010214A IN Primary

Addresses

Primary practice location

955 S Hebron Ave Ste C
Evansville, IN 47714-4085

Mailing address

955 S Hebron Ave Ste C
Evansville, IN 47714-4085
Phone (931) 338-3794

Other practice location 1

511 8th St
Clarksville, TN 37040-3093
Phone (931) 552-8184

Other names 1

  • Mayme Helen Stephenson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IN, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210802003258 TN Practitioner - Clinical Social Worker 3072917848 Reassigns benefits to 1 organization
I20240916000814 IN Practitioner - Clinical Social Worker 3072917848 Reassigns benefits to 1 organization
I20241018002039 KY Practitioner - Clinical Social Worker 3072917848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0006415TNMDSocial Worker
34010214AINMDClinical Social Worker
7404TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jul 24, 2024 Accepting new patients

Locations

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

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

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1073990255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 S HEBRON AVE STE C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477144085",
            "telephone_number": "931-338-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S HEBRON AVE STE C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477144085",
            "telephone_number": "931-338-3794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 8th St",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370403093",
            "country_code": "US",
            "telephone_number": "931-552-8184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDERS",
        "first_name": "MAYME",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "0006415",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7404",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010214A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYME",
            "last_name": "STEPHENSON",
            "middle_name": "HELEN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.