Individual provider Active NPI

Rebecca Messina-Graham, MSW, LSW

  • Social Worker
  • Indianapolis, IN
National Provider Identifier
1316694052
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33004890A Issued in IN
Practice address
5660 Caito Dr Ste 126
Indianapolis, IN 46226-1368
Phone
(317) 207-6095
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33004890A IN Primary

Addresses

Primary practice location

5660 Caito Dr Ste 126
Indianapolis, IN 46226-1368

Mailing address

1102 N Emerson Ave
Indianapolis, IN 46219-2930
Phone (317) 991-0032

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
I20260529001941 IN Practitioner - Clinical Social Worker 2466994751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Indiana University School of Medicine, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5660 Caito Dr
Suite 126
Indianapolis, IN 46226-1364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33004890AINMDSocial Worker
34010926AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Indy Counseling Professionals LLC CurrentSince Sep 21, 2024 Accepting new patients

Locations

5660 Caito Dr
Ste 126
Lawrence, IN 46226
Phone (317) 207-6095

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1316694052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 N EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462192930",
            "telephone_number": "317-991-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 CAITO DR STE 126",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261368",
            "telephone_number": "317-207-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSINA-GRAHAM",
        "first_name": "REBECCA",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33004890A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.