Individual provider Active NPI

Pamelia J. Sublett, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1104192707
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006458A Issued in IN
Practice address
1300 E 86TH St Ste 36a
Indianapolis, IN 46240-1990
Phone
(317) 560-3344
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.025656 IL
Clinical Social Worker 1041C0700X 34006458A IN Primary
Clinical Social Worker 1041C0700X 44SC06676600 NJ
Clinical Social Worker 1041C0700X SWB-2026-0349 NM
Clinical Social Worker 1041C0700X 30639 MN
Clinical Social Worker 1041C0700X 6801119497 MI
Clinical Social Worker 1041C0700X 9089-C NV
Clinical Social Worker 1041C0700X SWI.LW.61516832 WA
Clinical Social Worker 1041C0700X CW027409 PA

Addresses

Primary practice location

1300 E 86TH St Ste 36a
Indianapolis, IN 46240-1990

Mailing address

1300 E 86TH St Ste 36a
Indianapolis, IN 46240-1990
Phone (317) 706-6744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NV, MN, IL, MI, WA, NM7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20130619000471 IN Practitioner - Clinical Social Worker 1951540152 Reassigns benefits to 5 organizations
I20221230002178 NV Practitioner - Clinical Social Worker 1951540152 Reassigns benefits to 6 organizations
I20250814003314 MN Practitioner - Clinical Social Worker 1951540152 Reassigns benefits to 4 organizations
I20250814004269 IL Practitioner - Clinical Social Worker 1951540152 Reassigns benefits to 4 organizations
I20250821002086 MI Practitioner - Clinical Social Worker 1951540152 Reassigns benefits to 4 organizations
I20250904001133 WA Practitioner - Clinical Social Worker 1951540152 Reassigns benefits to 4 organizations
I20260409004123 NM Practitioner - Clinical Social Worker 1951540152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

14484 John Humphrey Dr
Orland Park, IL 60462-2638
Phone 8328694818235

2101 Hennepin Ave
Suite 100 1
Minneapolis, MN 55405-2769
Phone (832) 869-4818

2300 W Sahara Ave
Suite 800
Las Vegas, NV 89102-4397
Phone (866) 630-0966

333 N Alabama St
Suite 350
Indianapolis, IN 46204-2275
Phone (866) 630-0966

509 Olive Way
Suite 1259 12TH Floor
Seattle, WA 98101-1745
Phone 8328694818235

5975 Heaton Pass
Carmel, IN 46033-8629
Phone (270) 286-0276

639 Isbell Rd
Suite 380
Reno, NV 89509-4982
Phone (832) 869-4818

8240 Naab Rd
Suite 360
Indianapolis, IN 46260-1987
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006458AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Unlimited CurrentSince Nov 1, 2022 Accepting new patients
Psychplus Medical Associates of Michigan, PLLC CurrentSince Oct 21, 2025 Accepting new patients
Baume Psychological Services, P.C. CurrentSince May 29, 2013 Accepting new patients
Cognitive Care Solutions Group Inc CurrentSince Oct 7, 2023 Accepting new patients
Talkspace Provider Network PA CurrentSince Jan 21, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 15, 2025 Accepting new patients
Sondermind, P.a. Clinical CurrentSince Sep 15, 2025 Accepting new patients
Vitality Unlimited CurrentSince Nov 1, 2022 Accepting new patients
Talkspace Provider Network Mi, PC CurrentSince Jun 6, 2025 Accepting new patients
Psychiatry of Texas PLLC CurrentSince Oct 1, 2025 Accepting new patients
Sondermind PC Clinical CurrentSince Sep 15, 2025 Accepting new patients
Talkspace Wa Psychiatry PC CurrentSince Jun 6, 2025 Accepting new patients
Psychplus Associates of Michigan, PLLC CurrentSince Oct 21, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Oct 1, 2025 Accepting new patients
Vitality Unlimited Current Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Emerald Neuro-Recover PastSince Feb 11, 2020 Accepting new patients
Aims-Med, LLC PastSince Sep 17, 2023 Accepting new patients

Locations (25 of 34)

3943 Irvine Blvd
Irvine, CA 92602
Phone (714) 922-0120

1431 McHenry Rd
Ste 105
Buffalo Grove, IL 60089
Phone (708) 286-1264

14484 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 741-2325

416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

12337 Hancock St
Ste 20
Carmel, IN 46032
Phone (317) 706-6744

11805 Pennsylvania St
Carmel, IN 46032
Phone (317) 580-4011

12265 Hancock St
Ste 42
Carmel, IN 46032
Phone (317) 606-8778

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

5901 Chase Rd
Ste 210
Dearborn, MI 48126
Phone (313) 945-6650

290 Town Center Dr
Ste 141
Dearborn, MI 48126

2031 Rambling Rd
Kalamazoo, MI 49008
Phone (269) 344-9490

729 Washington Ave N
Ste 600
Minneapolis, MN 55401
Phone (334) 463-3099

2101 Hennepin Ave
Ste 1001
Minneapolis, MN 55405

445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105

5000 Cutler Ave NE
Ste A
Albuquerque, NM 87110
Phone (505) 227-7434

120 Pike St
Dayton, NV 89403
Phone (775) 241-9440

215 Bluffs Ave
Ste 200
Elko, NV 89801
Phone (775) 738-2925

3740 E Idaho St
Elko, NV 89801
Phone (775) 738-8004

1250 Lamoille Hwy
Ste 942
Elko, NV 89801
Phone (775) 738-0166

2500 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-1436

2870 S Maryland Pkwy
Ste 230
Las Vegas, NV 89109
Phone (702) 330-0530

Networks

  • UT PPO D-SNP
  • UT PPO

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1104192707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 86TH ST STE 36A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401990",
            "telephone_number": "317-706-6744",
            "fax_number": "317-706-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 86TH ST STE 36A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401990",
            "telephone_number": "317-560-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBLETT",
        "first_name": "PAMELIA",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025656",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006458A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06676600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2026-0349",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "30639",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119497",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9089-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.61516832",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW027409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.