Individual provider Active NPI

Qiana Jaquay Paynter, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1205408036
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007719A Issued in IN
Practice address
9105 E 56TH St Ste J
Indianapolis, IN 46216-2231
Phone
(317) 500-4408
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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 34007719A IN Primary

Addresses

Primary practice location

9105 E 56TH St Ste J
Indianapolis, IN 46216-2231

Mailing address

9105 E 56TH St Ste J
Indianapolis, IN 46216-2231
Phone (317) 507-9887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beauty for Ashes Counseling and Consulting, LLC Clinical Current Accepting new patients
Community Health Network, Inc Current Accepting new patients
Community Health Network, Inc CurrentSince Apr 10, 2024 Accepting new patients

Locations

9105 E 56th St
Ste J
Indianapolis, IN 46216
Phone (260) 508-6088

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1205408036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 E 56TH ST STE J",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162231",
            "telephone_number": "317-507-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 E 56TH ST STE J",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162231",
            "telephone_number": "317-500-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNTER",
        "first_name": "QIANA",
        "middle_name": "JAQUAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007719A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.