Individual provider Active NPI

Edna Mae Sanders, MSW, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1124386107
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006420A Issued in IN
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

Updated by the provider on Mar 27, 2023

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 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

TypeEndpointUseAffiliation
Direct Messaging Address esandersmensah85058@direct.eskenazihealth.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NJ, DC, MS4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20120509000077 IN Practitioner - Clinical Social Worker 4082876040 Reassigns benefits to 2 organizations
I20250612000159 NJ Practitioner - Clinical Social Worker 4082876040 Reassigns benefits to 1 organization
I20260311003282 DC Practitioner - Clinical Social Worker 4082876040 Reassigns benefits to 1 organization
I20260407003881 MS Practitioner - Clinical Social Worker 4082876040 Reassigns benefits to 1 organization

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 100Reported as group
Quality
94.43
Promoting interoperability
100
Improvement activities
40
Cost
82.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006420AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince May 17, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 17, 2025 Accepting new patients
Green House and Associates Inc Clinical PastSince Jan 1, 2008 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

Verify at the official NPI Registry.