Individual provider Active NPI

Kaitlin Faust, LCSW

  • Clinical Social Worker
  • Zionsville, IN
National Provider Identifier
1235914755
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010630A Issued in IN
Practice address
1650 W Oak St Ste 200
Zionsville, IN 46077-3836
Phone
(765) 680-0071
NPI assigned
Aug 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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 34010630A IN Primary

Addresses

Primary practice location

1650 W Oak St Ste 200
Zionsville, IN 46077-3836

Mailing address

8140 E County Road 700 N
Brownsburg, IN 46112-9069
Phone (317) 681-3240

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
I20240315001847 IN Practitioner - Clinical Social Worker 6103262829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Wellness, LLCGroup PAC ID 1951531094, 5 clinicians

Practice addresses (Care Compare)

1310 S Lebanon St
Suite C
Lebanon, IN 46052-3077
Phone (765) 680-0071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34010630AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness, LLC Clinical CurrentSince Mar 1, 2024 Accepting new patients
Indiana Spine Group, PC Past Accepting new patients

Locations

407 E Market St
Ste 101
Crawfordsville, IN 47933
Phone (317) 428-5044

2485 E Wabash St
Frankfort, IN 46041
Phone (765) 656-3900

218 E Washington St
Lebanon, IN 46052

215 W Chicago St
Lebanon, IN 46052

1310 S Lebanon St
Ste C
Lebanon, IN 46052
Phone (765) 201-0407

151 E Bow St
Thorntown, IN 46071
Phone (765) 436-2400

1650 W Oak St
Ste 200
Zionsville, IN 46077
Phone (317) 912-1399

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1235914755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 E COUNTY ROAD 700 N",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461129069",
            "telephone_number": "317-681-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W OAK ST STE 200",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460773836",
            "telephone_number": "765-680-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "KAITLIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010630A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.