Individual provider Active NPI

Julie Kavanaugh, MSW, LSW

  • Social Worker
  • Indianapolis, IN
National Provider Identifier
1154557148
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33005347A Issued in IN
Practice address
6031 Hillside Avenue West Dr
Indianapolis, IN 46220-2419
Phone
(317) 319-6027
NPI assigned
Jun 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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 33005347A IN Primary

Addresses

Primary practice location

6031 Hillside Avenue West Dr
Indianapolis, IN 46220-2419

Mailing address

6031 Hillside Avenue West Dr
Indianapolis, IN 46220-2419
Phone (317) 319-6027

Other identifiers 1

IdentifierTypeStateIssuer
270296275MedicaidIN

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
I20150317002474 IN Practitioner - Clinical Social Worker 4789814401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33005347AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
One Sensible Solution LLC CurrentSince Mar 12, 2013 Accepting new patients

Locations

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

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

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

Organizations & group practices 1

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": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1154557148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 HILLSIDE AVENUE WEST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202419",
            "telephone_number": "317-319-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 HILLSIDE AVENUE WEST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202419",
            "telephone_number": "317-319-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "JULIE",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33005347A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270296275",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.