Charleen K Sculley

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2506 Willowbrook Pkwy
Suite 111
Indianapolis, IN 46205-1542

Phone

(317) 574-1254

Fax

(317) 574-1230

NPI assigned

Oct 19, 2010

Last updated

Oct 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Aspire Indiana Health Inc

  dba Aspire Indiana Health - Progress House Main

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1346022761
  NPD (past)
• Aspire Indiana Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carmel, IN
  • NPI 1124016050
  NPD (past)

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1114237559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17840 CUMBERLAND RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605409",
            "telephone_number": "317-574-1254",
            "fax_number": "317-574-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 WILLOWBROOK PKWY",
            "address_2": "SUITE 111",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051542",
            "telephone_number": "317-574-1254",
            "fax_number": "317-574-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLEY",
        "first_name": "CHARLEEN",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin N Scroggs
• Taryn Rae Scrogham, PHARMD
• Ariel Scruggs, LMHCA
• Joseph Scruggs
• Christopher Hill Scruton, PHD
• Allison C Scully, DDS
• Mariah Arlene Scurry, RBT
• Ronald Scurry
• SD&J LLC T a Made-in Indianapolis Pharmacy & Medical Equipment (Made-in Indianapolis Pharmacy & Medical Equipment)
• SDF Care LLC

• Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.