Active NPI
Edna Mae Sanders, MSW, LCSW
- Clinical Social Worker
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006420A
- Practice address
- 5026 Clarkson Dr
Indianapolis, IN 46254-4199 - Phone
- (317) 294-1434
- Fax
- (317) 342-5854
- NPI assigned
- Apr 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34006420A | IN | Primary |
Addresses
Primary practice location
5026 Clarkson Dr
Indianapolis, IN 46254-4199
Mailing address
3250A W 86TH St # 1043
Indianapolis, IN 46268-3605
Phone (317) 294-1434
Other practice location 1
720 Eskenazi Ave
Fifth Third Bank Bldg, 5th FL
Indianapolis, IN 46202-5166
Phone (317) 880-7666
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | esandersmensah85058@direct.eskenazihealth.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, NJ, DC, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34006420A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group of New Jersey PC | Clinical | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Green House and Associates Inc | Clinical | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
333 N Alabama St
Indianapolis, IN 46204
Phone (317) 395-3391
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
Organizations & group practices 4
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": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1124386107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250A W 86TH ST # 1043",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683605",
"telephone_number": "317-294-1434",
"fax_number": "317-342-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5026 CLARKSON DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462544199",
"telephone_number": "317-294-1434",
"fax_number": "317-342-5854"
}
],
"practiceLocations": [
{
"address_1": "720 Eskenazi Ave",
"address_2": "Fifth Third Bank Bldg, 5th FL",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025166",
"country_code": "US",
"telephone_number": "317-880-7666",
"fax_number": "317-880-0448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "EDNA",
"middle_name": "MAE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-27",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006420A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "esandersmensah85058@direct.eskenazihealth.edu",
"affiliation": "N",
"address_1": "720 Eskenazi Ave",
"address_2": "Fifth Third Bank Bldg, 5th FL",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025166",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.