Individual provider Active NPI

Kathleen Consiglieri, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1376248161
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010294A Issued in IN
Practice address
1700 N Illinois St
Indianapolis, IN 46202-1316
Phone
(317) 880-0808
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 34010294A IN Primary

Addresses

Primary practice location

1700 N Illinois St
Indianapolis, IN 46202-1316

Mailing address

1700 N Illinois St
Indianapolis, IN 46202-1316
Phone (317) 880-0808

Other names 1

  • Kathleen Cesnik Former 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
I20230501001567 IN Practitioner - Clinical Social Worker 2769847565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Apex Consulting LLCGroup PAC ID 6507210614, 2 clinicians

Practice addresses (Care Compare)

9130 Otis Ave
Suite a
Indianapolis, IN 46216-2032
Phone (317) 992-2910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34010294AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Consulting LLC Mental Health CurrentSince Mar 2, 2024 Accepting new patients

Locations

9130 Otis Ave
Ste A
Indianapolis, IN 46216
Phone (317) 992-2910

8902 Otis Ave
Indianapolis, IN 46216
Phone (317) 377-4396

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1376248161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N ILLINOIS ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021316",
            "telephone_number": "317-880-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ILLINOIS ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021316",
            "telephone_number": "317-880-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSIGLIERI",
        "first_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010294A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "CESNIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.