Individual provider Active NPI

Barbara Siegel McConnell, LCSW

  • Clinical Social Worker
  • Muncie, IN
National Provider Identifier
1275603524
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34003559A Issued in IN
Practice address
3645 N Briarwood LN Ste a
Muncie, IN 47304
Phone
(765) 289-5520
Fax
(765) 289-5840
NPI assigned
Nov 8, 2006
Last updated
Dec 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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 34003559A IN Primary

Addresses

Primary practice location

3645 N Briarwood LN Ste a
Muncie, IN 47304

Mailing address

3645 N Briarwood LN Ste a
Muncie, IN 47304-5337
Phone (765) 289-5520

Other practice location 1

431 West 9th Street
Anderson, IN 46016-1317
Phone (765) 649-2234

Other identifiers 1

IdentifierTypeStateIssuer
34003559AOtherINPROFESSIONAL LICENSING AGENCY

Other names 1

  • Barbara Elaine Siegel McConnell Other name

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
I20101116000287 IN Practitioner - Clinical Social Worker 5698960615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tyrow Consulting LLCGroup PAC ID 6608196787, 16 clinicians

Practice addresses (Care Compare)

3645 N Briarwood LN
Suite a
Muncie, IN 47304-5337
Phone (765) 289-5520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tyrow Consulting LLC CurrentSince Jan 14, 2019 Accepting new patients

Locations

3645 N Briarwood Ln
Ste A
Muncie, IN 47304
Phone (765) 289-5520

Organizations & group practices 1

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1275603524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 N BRIARWOOD LN STE A",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045337",
            "telephone_number": "765-289-5520",
            "fax_number": "765-289-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 N BRIARWOOD LN STE A",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47304",
            "telephone_number": "765-289-5520",
            "fax_number": "765-289-5840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 West 9th Street",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460161317",
            "country_code": "US",
            "telephone_number": "765-649-2234",
            "fax_number": "765-640-0538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "BARBARA",
        "middle_name": "SIEGEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003559A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSING AGENCY",
            "identifier": "34003559A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "MCCONNELL",
            "middle_name": "ELAINE SIEGEL",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.