Individual provider Active NPI

Samantha Cady Wright, MSW, LCSW

  • Clinical Social Worker
  • Carmel, IN
National Provider Identifier
1376610006
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006107A Issued in IN
Practice address
13683 Stanford Drive
Carmel, IN 46074-8448
Phone
(317) 590-6512
Fax
(949) 561-5820
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16292 MN
Clinical Social Worker 1041C0700X 34006107A IN Primary

Addresses

Primary practice location

13683 Stanford Drive
Carmel, IN 46074-8448

Mailing address

1807 Smith St
Logansport, IN 46947-1576
Phone (574) 732-1414

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
I20101118000100 IN Practitioner - Clinical Social Worker 2769548742 Reassigns benefits to 2 organizations
Practice locations: Carmel, IN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16292MNMDClinical Social Worker
16962MNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Counseling & Consulting LLC Clinical CurrentSince Jun 20, 2022 Accepting new patients
Baume Psychological Services, P.C. CurrentSince Jan 9, 2020 Accepting new patients
Emerald Neuro-Recover PastSince Feb 11, 2020 Accepting new patients
Choice Medical Institute PastSince Mar 21, 2021 Accepting new patients

Locations

12265 Hancock St
Ste 42
Carmel, IN 46032
Phone (317) 606-8778

12337 Hancock St
Ste 20
Carmel, IN 46032
Phone (317) 706-6744

Organizations & group practices 4

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1376610006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 SMITH ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471576",
            "telephone_number": "574-732-1414",
            "fax_number": "574-732-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13683 STANFORD DRIVE",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460748448",
            "telephone_number": "317-590-6512",
            "fax_number": "949-561-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SAMANTHA",
        "middle_name": "CADY",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16292",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006107A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.