Individual provider Active NPI

Dreama M Hallgarth, LCSW

  • Clinical Social Worker
  • Rushville, IN
National Provider Identifier
1356567523
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004897A Issued in IN
Practice address
121 E 3Rd St
Rushville, IN 46173-2208
Phone
(765) 932-5905
Fax
(765) 938-4545
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 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 34004897A IN Primary

Addresses

Primary practice location

121 E 3Rd St
Rushville, IN 46173-2208

Mailing address

117 E 3Rd St
Rushville, IN 46173-1839
Phone (765) 932-5905

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
I20080311000681 IN Practitioner - Clinical Social Worker 7012092240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harcourt Counseling Services IncGroup PAC ID 1658456926, 3 clinicians

Practice addresses (Care Compare)

117 E 3Rd St
Rushville, IN 46173-1839
Phone (765) 932-5905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34004897AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harcourt Counseling Services Inc Clinical CurrentSince Sep 1, 2008 Accepting new patients

Locations

121 E 3rd St
Rushville, IN 46173
Phone (765) 932-5905

117 E 3rd St
Rushville, IN 46173
Phone (765) 932-5905

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1356567523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E 3RD ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731839",
            "telephone_number": "765-932-5905",
            "fax_number": "765-938-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 3RD ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461732208",
            "telephone_number": "765-932-5905",
            "fax_number": "765-938-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLGARTH",
        "first_name": "DREAMA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004897A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, IN

Sources for this page

Verify at the official NPI Registry.