Individual provider Active NPI

Melissa Helene Nulton, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1265732424
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006086A Issued in IN
Practice address
8470 Allison Pointe Blvd Ste 100
Indianapolis, IN 46250-4368
Phone
(317) 554-4220
Fax
(317) 554-4220
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 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 34006086A IN Primary

Addresses

Primary practice location

8470 Allison Pointe Blvd Ste 100
Indianapolis, IN 46250-4368

Mailing address

8470 Allison Pointe Blvd Ste 100
Indianapolis, IN 46250-4368
Phone (317) 554-4220

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
I20110729000393 IN Practitioner - Clinical Social Worker 2769650118 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006086AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Indiana LLC Clinical CurrentSince May 15, 2024 Accepting new patients
The Health and Hospital Corporation of Marion County Current Accepting new patients
Eskenazi Medical Group Inc CurrentSince Dec 22, 2019 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Jun 27, 2011 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Nov 13, 2018 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Nov 13, 2018 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

5819 Reliable Pkwy
Chicago, IL 60686

10352 N 600 E
Demotte, IN 46310
Phone (219) 345-5211

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

6905 E 96th St
Ste 300
Indianapolis, IN 46250
Phone (317) 359-3030

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

Organizations & group practices 6

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": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1265732424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8470 ALLISON POINTE BLVD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504368",
            "telephone_number": "317-554-4220",
            "fax_number": "317-554-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8470 ALLISON POINTE BLVD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504368",
            "telephone_number": "317-554-4220",
            "fax_number": "317-554-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NULTON",
        "first_name": "MELISSA",
        "middle_name": "HELENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006086A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.