Individual provider Active NPI

Anna Domiray, LCSW

  • Clinical Social Worker
  • New Albany, IN
National Provider Identifier
1154140358
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34011465A Issued in IN
Practice address
1015 E Main St Ste 200
New Albany, IN 47150-5842
Phone
(812) 605-5201
NPI assigned
Oct 7, 2024
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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 34011465A IN Primary

Addresses

Primary practice location

1015 E Main St Ste 200
New Albany, IN 47150-5842

Mailing address

1015 E Main St Ste 200
New Albany, IN 47150-5842
Phone (812) 605-5201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241104002429 IN Practitioner - Clinical Social Worker 6406389030 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespring, Inc CurrentSince Sep 25, 2024 Accepting new patients
Lifespring, Inc CurrentSince Sep 25, 2024 Accepting new patients
Diosa Mental Health LLC Clinical CurrentSince Nov 8, 2025 Accepting new patients
Lifespring, Inc Past Accepting new patients

Locations

1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

1015 E Main St
Ste 200
New Albany, IN 47150
Phone (812) 605-5201

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1154140358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E MAIN ST STE 200",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471505842",
            "telephone_number": "812-605-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E MAIN ST STE 200",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471505842",
            "telephone_number": "812-605-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMIRAY",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011465A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.