Mary Katherine Degrella, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007229A Issued in IN

Practice address

10293 N Meridian St
310
Indianapolis, IN 46290-1123

Phone

(317) 550-5541

NPI assigned

Feb 5, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Katie Degrella Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1194183145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10293 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901123",
            "telephone_number": "317-550-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10293 N MERIDIAN ST",
            "address_2": "310",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901123",
            "telephone_number": "317-550-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRELLA",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007229A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "DEGRELLA",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lawrence Degan, MD
• Hanna Elizabeth Degen, DO
• Elisabeth K Degenhardt, RN, MSN
• Christopher Michael Degenkolb, PHARM.D.
• Danielle N Degitz
• Elizabeth Degroff, RPH
• Jack Degroot
• Christine Dehart, LCSW
• Emma Dehart
• George F Dehart, RPH

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.