Active NPI
Captiol City Family Education Services
- Clinical Social Worker
- Merrillville, IN
National Provider Identifier
1104296011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006764A
- Legal business name
- CAPTIOL CITY FAMILY EDUCATION SERVICES
- Practice address
- 6049 Broadway
Merrillville, IN 46410-2619 - Phone
- (219) 427-0193
- NPI assigned
- Oct 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carolyn Ann Thorpe, LCSW
- Title
- Clinical Manager
- Phone
- (219) 427-0193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34006764A | IN | Primary |
Addresses
Primary practice location
6049 Broadway
Merrillville, IN 46410-2619
Mailing address
6049 Broadway
Merrillville, IN 46410-2619
Phone (219) 427-0193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942561162 | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- Capital City Family Education Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Point of Service
- Indianapolis, IN
- NPI 1790225332
-
- Counselor
- Merrillville, IN
- NPI 1942561162
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Merrillville, IN
- NPI 1588115323
Locations
6049 Broadway
Merrillville, IN 46410
Phone (219) 427-0193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444003200000",
"number": "1104296011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6049 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464102619",
"telephone_number": "219-427-0193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6049 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464102619",
"telephone_number": "219-427-0193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPTIOL CITY FAMILY EDUCATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-05",
"last_updated": "2015-10-05",
"status": "A",
"authorized_official_last_name": "THORPE",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CLINICAL MANAGER",
"authorized_official_telephone_number": "219-427-0193",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006764A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942561162",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
- Tara Capaldi, NP-C
- Capital City Family Education Services
- Capital Senior Living Ilm-B Inc. (Towne Centre)
- Capitol City Family and Education Services
- Capitol City Family Education Services
- Antionette Cardenas, DSW
- Cardinal Home Health Services, Inc.
- Cardiomed Specialists PC
- Cardiovascular Clinics PC
- Cardiovascular Consultants & Preventive Medicine Institute, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.