Individual provider Active NPI

Stephanie Nicole Williams

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1124443429
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007671A Issued in IN
Practice address
2700 E 55TH PL Ste 8
Indianapolis, IN 46220-3545
Phone
(317) 543-9347
NPI assigned
Feb 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW00001284 KY
Clinical Social Worker 1041C0700X 34007671A IN Primary

Addresses

Primary practice location

2700 E 55TH PL Ste 8
Indianapolis, IN 46220-3545

Mailing address

PO Box 740017
Atlanta, GA 30374-0017

Other practice location 1

1731 Dixie Hwy
Louisville, KY 40210-2313
Phone (502) 444-6016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200702001739 IN Practitioner - Clinical Social Worker 5890118160 Reassigns benefits to 1 organization
I20260224003329 KY Practitioner - Clinical Social Worker 5890118160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Osh-in Physicians Group PCGroup PAC ID 6800100512, 62 clinicians

Practice addresses (Care Compare)

2240 E 53Rd St
Suite 1
Indianapolis, IN 46220-3479
Phone (317) 933-7047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW00001284KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Kentucky, PLLC Clinical CurrentSince Feb 2, 2026 Accepting new patients
Osh-in Physicians Group, PC CurrentSince Jun 1, 2020 Accepting new patients
Oak Street Health Physicians Group of South Carolina, LLC Clinical Past Accepting new patients
Nova Physician Group PLLC PastSince May 7, 2024 Accepting new patients
Oak Street Health Physicians Group, PC Past Accepting new patients

Locations

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

2240 E 53rd St
Indianapolis, IN 46220
Phone (317) 933-7047

2240 E 53rd St
Ste B1
Indianapolis, IN 46220
Phone (317) 933-7047

5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730

5743 Preston Hwy
Louisville, KY 40219
Phone (502) 444-6008

1731 Dixie Hwy
Louisville, KY 40210
Phone (502) 444-6016

Organizations & group practices 5

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": "1393113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1124443429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740017",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 55TH PL STE 8",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203545",
            "telephone_number": "317-543-9347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1731 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402102313",
            "country_code": "US",
            "telephone_number": "502-444-6016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-23",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "LCSW00001284",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007671A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.