Organization Active NPI

Ella, Inc.

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1174843460
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005683A Issued in IN
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

Updated by the provider on Jun 9, 2010

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200936060AMedicaidIN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.