Active NPI
Ella, Inc.
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1174843460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005683A
- Legal business name
- ELLA, INC.
- Practice address
- 2511 E 46TH St
Suite N4
Indianapolis, IN 46205-2460 - Phone
- (317) 542-1473
- Fax
- (317) 542-1602
- NPI assigned
- Jun 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Letitia Vidette Beckett-Haywood, LCSW
- Title
- President
- Phone
- (317) 460-1312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34005683A | IN | Primary |
Addresses
Primary practice location
2511 E 46TH St
Suite N4
Indianapolis, IN 46205-2460
Mailing address
2511 E 46TH St
Suite N4
Indianapolis, IN 46205-2460
Phone (317) 542-1473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200936060A | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276041600000",
"number": "1174843460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 E 46TH ST",
"address_2": "SUITE N4",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462052460",
"telephone_number": "317-542-1473",
"fax_number": "317-542-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 E 46TH ST",
"address_2": "SUITE N4",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462052460",
"telephone_number": "317-542-1473",
"fax_number": "317-542-1602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-09",
"last_updated": "2010-06-09",
"status": "A",
"authorized_official_last_name": "BECKETT-HAYWOOD",
"authorized_official_first_name": "LETITIA",
"authorized_official_middle_name": "VIDETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-460-1312",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005683A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200936060A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.