Individual provider Active NPI

Carmen Heidy Ovando, MSW,LSW

  • Social Worker
  • Indianapolis, IN
National Provider Identifier
1154058253
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33010397A Issued in IN
Practice address
5717 Wattles Dr Apt E
Indianapolis, IN 46224-7175
Phone
(317) 658-5524
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33010397A IN Primary

Addresses

Primary practice location

5717 Wattles Dr Apt E
Indianapolis, IN 46224-7175

Mailing address

3250A W 86TH St # 1111
Indianapolis, IN 46268-3605
Phone (317) 561-1326

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carmenhovandolsw@counselingsecure.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 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
I20230215002804 IN Practitioner - Clinical Social Worker 1557733789 Reassigns benefits to 1 organization
I20230524000090 FL Practitioner - Clinical Social Worker 1557733789 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33010397AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Raices, LLC CurrentSince Apr 6, 2023 Accepting new patients
One Sensible Solution LLC CurrentSince Feb 22, 2023 Accepting new patients

Locations

3250A W 86th St
Indianapolis, IN 46268
Phone (317) 406-9775

6038 N Keystone Ave
Indianapolis, IN 46220
Phone (317) 296-4914

6100 N Keystone Ave
Ste 42
Indianapolis, IN 46220
Phone (317) 296-4914

6100 N Keystone Ave
Ste 420
Indianapolis, IN 46220
Phone (317) 296-4914

Organizations & group practices 3

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1154058253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250A W 86TH ST # 1111",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683605",
            "telephone_number": "317-561-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 WATTLES DR APT E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462247175",
            "telephone_number": "317-658-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVANDO",
        "first_name": "CARMEN",
        "middle_name": "HEIDY",
        "credential": "MSW,LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33010397A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carmenhovandolsw@counselingsecure.com",
            "affiliation": "N",
            "address_1": "5717 Wattles Dr Apt E",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462247175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.