Active NPI
Christine Dragoo, LCSW
- Clinical Social Worker
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34008269A
- Practice address
- 697 Pro-Med LN
Carmel, IN 46032-5323 - Phone
- (317) 574-1254
- Fax
- (317) 674-0060
- NPI assigned
- Jul 18, 2016
- Last updated
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 99073771A | IN | |
| Clinical Social Worker | 1041C0700X | 34008269A | IN | Primary |
Addresses
Primary practice location
697 Pro-Med LN
Carmel, IN 46032-5323
Mailing address
9615 E 148TH St Ste 1
Noblesville, IN 46060-4371
Phone (317) 587-0500
Other names 1
- Christine Hurst
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 E Carmel Dr
Suite 108
Carmel, IN 46032-3003
Phone (317) 523-7431
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99073771A | IN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Indiana Inc. | Clinical | Current | Accepting new patients |
| Sugar Creek Counseling LLC | Current | Accepting new patients |
Locations
2009 Brown St
Anderson, IN 46016
Phone (765) 393-3891
600 E Carmel Dr
Ste 108
Carmel, IN 46032
Phone (317) 523-7431
9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500
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.
-
- Community/Behavioral Health Agency
- Carmel, IN
- NPI 1649773102
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carmel, IN
- NPI 1124016050
Clinical
-
- Federally Qualified Health Center (FQHC)
- Anderson, IN
- NPI 1780068288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1255784906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9615 E 148TH ST STE 1",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604371",
"telephone_number": "317-587-0500",
"fax_number": "317-674-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "697 PRO-MED LN",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325323",
"telephone_number": "317-574-1254",
"fax_number": "317-674-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGOO",
"first_name": "CHRISTINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "99073771A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008269A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "HURST",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Carmel, IN
- Dr Mark Lynn & Associates PLLC (Visionworks Doctors of Optometry)
- Dr Mark Lynn & Associates, PLLC (Visionworks Doctors of Optometry)
- Dr Oed Couple and Family Therapy
- Dr. Michael Fagin , P.C.
- Dr. Tannous, DDS, LLC
- Amanda Dransfield, SLP
- Michael William Draper, M.D.
- Chloe Savannah Dreibelbis, RBT
- Ashley Alene Dresslar, COTA
- Dawn Renee Drinkut, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.