Active NPI
Jack Weston Schinderle, MA LCSW
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1265667059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34002303
- Practice address
- 9247 N Meridian St
325
Indianapolis, IN 46260-1879 - Phone
- (317) 508-3161
- NPI assigned
- May 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34002303 | IN | Primary |
Addresses
Primary practice location
9247 N Meridian St
325
Indianapolis, IN 46260-1879
Mailing address
543 Coventry Way
Noblesville, IN 46062-9024
Phone (317) 508-3161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002303 | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242864000000",
"number": "1265667059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 COVENTRY WAY",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460629024",
"telephone_number": "317-508-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9247 N MERIDIAN ST",
"address_2": "325",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601879",
"telephone_number": "317-508-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHINDERLE",
"first_name": "JACK",
"middle_name": "WESTON",
"name_prefix": "Mr.",
"credential": "MA LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-21",
"last_updated": "2009-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34002303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.