Individual provider Active NPI

Cindy Sue Green-Smith, LCSW

  • Clinical Social Worker
  • Lafayette, IN
National Provider Identifier
1093546772
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34011340A Issued in IN
Practice address
415 N 26TH St Ste 201
Lafayette, IN 47904-2856
Phone
(866) 682-5539
NPI assigned
Aug 13, 2024
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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 34011340A IN Primary

Addresses

Primary practice location

415 N 26TH St Ste 201
Lafayette, IN 47904-2856

Mailing address

2441 State St
Lafayette, IN 47905-2216
Phone (765) 490-1048

Other practice location 1

2441 State St
Lafayette, IN 47905-2216
Phone (765) 490-1048

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
I20240924001057 IN Practitioner - Clinical Social Worker 7012458532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Four County Comprehensive Mental Health Center IncGroup PAC ID 2163334277, 42 clinicians

Practice addresses (Care Compare)

1000 N Broadway
Peru, IN 46970-1070
Phone (574) 722-5151

1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151

1948 W Boulevard
4C Health
Kokomo, IN 46902-6078
Phone (574) 722-5151

801 S 6TH St D
4C Health
Monticello, IN 47960-8201
Phone (574) 722-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34011340AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc CurrentSince Aug 7, 2024 Accepting new patients
Four County Comprehensive Mental Health Center Inc Mental Health (Including Community Mental Health Center) CurrentSince May 5, 2025 Accepting new patients
Valley Oaks Health Inc Mental Health (Including Community Mental Health Center) CurrentSince Aug 7, 2024 Accepting new patients
Empowering Life Counseling LLC Clinical CurrentSince May 18, 2025 Accepting new patients
Four County Comprehensive Mental Health Center, Inc CurrentSince May 5, 2025 Accepting new patients

Locations

3002 E Wabash St
Frankfort, IN 46041

2796 N Apperson Way
Kokomo, IN 46901

1948 W Boulevard
Kokomo, IN 46902
Phone (765) 236-1290

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

2323 Ferry St
Lafayette, IN 47904
Phone (765) 203-1110

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

2436 Glick St
Lafayette, IN 47905

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

2441 State St
Lafayette, IN 47905
Phone (765) 474-1795

421 12th St
Logansport, IN 46947
Phone (574) 722-7407

800 Fulton St
Logansport, IN 46947
Phone (574) 205-2600

1015 Michigan Ave
Logansport, IN 46947

1 Landis Ln
Logansport, IN 46947

2355 S Business 31
Peru, IN 46970

1000 N Broadway
Peru, IN 46970
Phone (765) 472-5335

1 Zebra Ln
Rochester, IN 46975
Phone (574) 223-2159

401 E 8th St
Rochester, IN 46975
Phone (574) 223-8565

417 S Chicago St
Royal Center, IN 46978

1060 S Main St
Tipton, IN 46072
Phone (765) 675-1111

619 S Main St
Tipton, IN 46072

2418 Curtis Dr
Winamac, IN 46996
Phone (219) 946-7710

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, 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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1093546772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 STATE ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052216",
            "telephone_number": "765-490-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST STE 201",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042856",
            "telephone_number": "866-682-5539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2441 State St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479052216",
            "country_code": "US",
            "telephone_number": "765-490-1048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN-SMITH",
        "first_name": "CINDY",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011340A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.