Individual provider Active NPI

Jennifer Katz

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1265450779
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008685A Issued in IN
Practice address
401 E 34TH St
Indianapolis, IN 46205-3754
Phone
(317) 226-4248
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1419 NE
Clinical Social Worker 1041C0700X 3958 NE
Social Worker 104100000X R057835-1 NY
Clinical Social Worker 1041C0700X 34008685A IN Primary

Addresses

Primary practice location

401 E 34TH St
Indianapolis, IN 46205-3754

Mailing address

8401 Harcourt Rd
Indianapolis, IN 46260-2036

Other practice location 1

1812 N 169th Plz
Omaha, NE 68118-2809
Phone (402) 934-1617

Other practice location 2

8401 Harcourt Rd
Indianapolis, IN 46260-2036
Phone (317) 338-4600

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
I20200127000730 IN Practitioner - Clinical Social Worker 7517110059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raphael Health Center IncGroup PAC ID 4486562659, 13 clinicians

Practice addresses (Care Compare)

401 E 34TH St
Indianapolis, IN 46205-3754
Phone (317) 926-1507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R057835-1NYMDSocial Worker
3958NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Raphael Health Center, Inc CurrentSince Apr 24, 2023 Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. CurrentSince Jan 3, 2023 Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Social Worker CurrentSince Jan 3, 2023 Accepting new patients
Raphael Health Center, Inc CurrentSince Apr 24, 2023 Accepting new patients
Omaha Integrative Care, LLC Clinical PastSince Apr 1, 2016 Accepting new patients

Locations

8401 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 338-4600

8401 Harcourt Rd
Ste 302
Indianapolis, IN 46260
Phone (317) 338-4600

401 E 34th St
Indianapolis, IN 46205
Phone (317) 926-1507

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8127/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDCGDD

Organizations & group practices 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1265450779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 34TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053754",
            "telephone_number": "317-226-4248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1812 N 169th Plz",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681182809",
            "country_code": "US",
            "telephone_number": "402-934-1617",
            "fax_number": "402-934-5228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Harcourt Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602036",
            "country_code": "US",
            "telephone_number": "317-338-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1419",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "3958",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R057835-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008685A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.