Individual provider Active NPI

Cindy Ooley, LCSW

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1154868669
Registry record updated Jan 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007579A Issued in IN
Practice address
1117 N Jackson St
Bloomington, IN 47404-3385
Phone
(812) 272-7027
NPI assigned
Jan 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2017

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 34007579A IN Primary

Addresses

Primary practice location

1117 N Jackson St
Bloomington, IN 47404-3385

Mailing address

4810 E Heritage Woods Rd
Bloomington, IN 47401-9175
Phone (812) 272-7027

Other names 1

  • Cindy Deckard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34007579AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485043200000",
    "number": "1154868669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 E HERITAGE WOODS RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019175",
            "telephone_number": "812-272-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 N JACKSON ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043385",
            "telephone_number": "812-272-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOLEY",
        "first_name": "CINDY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-22",
        "last_updated": "2017-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007579A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "DECKARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.