Active NPI
Dana Lynn Bernacchi, LSW
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1326567983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34008816A
- Practice address
- 26 N Arsenal Ave
Indianapolis, IN 46201-3808 - Phone
- (317) 423-0130
- Fax
- (317) 423-0608
- NPI assigned
- Sep 14, 2017
- Last updated
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | 34008816A | IN | Primary |
Addresses
Primary practice location
26 N Arsenal Ave
Indianapolis, IN 46201-3808
Mailing address
26 N Arsenal Ave
Indianapolis, IN 46201-3808
Other practice location 1
26 N Arsenal Ave
Indianapolis, IN 46201-3808
Phone (317) 632-0123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33008195A | Other | IN | LSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1326567983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 N ARSENAL AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462013808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 N ARSENAL AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462013808",
"telephone_number": "317-423-0130",
"fax_number": "317-423-0608"
}
],
"practiceLocations": [
{
"address_1": "26 N Arsenal Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462013808",
"country_code": "US",
"telephone_number": "317-632-0123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNACCHI",
"first_name": "DANA",
"middle_name": "LYNN",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008816A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LSW",
"identifier": "33008195A",
"state": "IN"
}
],
"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 Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.