Prolific Community Partners

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

PROLIFIC COMMUNITY PARTNERS

Practice address

5421 Meadowood Dr
Speedway, IN 46224-3337

Phone

(812) 841-7486

NPI assigned

Jun 21, 2025

Organization subpart

No

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

Authorized official

Name

Dominique StuartNPI 1164999546

Title

Owner

Phone

(812) 841-7486

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominique Stuart

  • Social Worker
  • Speedway, IN
  • NPI 1164999546
  NPD Authorized official

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

{
    "created_epoch": "1750464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1245127315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 MEADOWOOD DR",
            "city": "SPEEDWAY",
            "state": "IN",
            "postal_code": "462243337",
            "telephone_number": "812-841-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 MEADOWOOD DR",
            "city": "SPEEDWAY",
            "state": "IN",
            "postal_code": "462243337",
            "telephone_number": "812-841-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFIC COMMUNITY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-21",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-841-7486"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Merrill, DPT
• Emily M Miller, M.A.
• Wendy Osmun, H.A.D
• Deborah Pepsak, PT
• Joshua Peterson, H.I.S.
• Courtney Lauren Ray, OTR
• Scott Raymond, S.S.P
• Rachelle Rose Roeder, DC
• School Town of Speedway
• Serenity Christian Counseling, LLC

• Social Worker in Speedway, IN
• Providers in Speedway, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.