Individual provider Active NPI

Kelsey Hug

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1215589494
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
907 N East St Ste 109
Indianapolis, IN 46202-3425
Phone
(317) 851-0512
NPI assigned
Jul 9, 2019
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 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 Primary

Addresses

Primary practice location

907 N East St Ste 109
Indianapolis, IN 46202-3425

Mailing address

907 N East St Ste 109
Indianapolis, IN 46202-3425
Phone (317) 851-0512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820002095 IN Practitioner - Clinical Social Worker 2062740723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rebecca Waletich LCSW LLCGroup PAC ID 2062716947, 3 clinicians

Practice addresses (Care Compare)

2437 Shelby St
Indianapolis, IN 46203-4252
Phone (317) 779-7574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Waletich LCSW LLC Clinical CurrentSince Feb 10, 2020 Accepting new patients
Kmhug LLC Clinical Current Accepting new patients

Locations

390 N Madison Ave
Ste 201
Greenwood, IN 46142
Phone (317) 296-5284

907 N East St
Ste 109
Indianapolis, IN 46202
Phone (317) 851-0512

Organizations & group practices 2

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1215589494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N EAST ST STE 109",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023425",
            "telephone_number": "317-851-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N EAST ST STE 109",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023425",
            "telephone_number": "317-851-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUG",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.