Individual provider Active NPI

Kendra N Smeltzer, MSW, LSW

  • Social Worker
  • Avon, IN
National Provider Identifier
1366691891
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33005576A Issued in IN
Practice address
6655 E US Highway 36
Avon, IN 46123-8923
Phone
(317) 272-3330
Fax
(317) 272-0807
NPI assigned
Sep 9, 2008
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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 33005576A IN Primary

Addresses

Primary practice location

6655 E US Highway 36
Avon, IN 46123-8923

Mailing address

6655 E US Highway 36
Avon, IN 46123-8923
Phone (317) 272-3330

Other identifiers 1

IdentifierTypeStateIssuer
100133060MedicaidIN

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
I20110216000312 IN Practitioner - Clinical Social Worker 4981884475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33005576AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Indy Counseling Professionals LLC CurrentSince Nov 13, 2025 Accepting new patients

Locations

10609 N Park Ave
Carmel, IN 46280
Phone (317) 207-6095

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, 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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1366691891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238923",
            "telephone_number": "317-272-3330",
            "fax_number": "317-272-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238923",
            "telephone_number": "317-272-3330",
            "fax_number": "317-272-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMELTZER",
        "first_name": "KENDRA",
        "middle_name": "N",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33005576A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100133060",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.