Individual provider Active NPI

Patrick J McWeeny, MSSA, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1376646679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34000782A Issued in IN
Practice address
429 E Vermont St
Suite # 205
Indianapolis, IN 46202-3690
Phone
(317) 423-0855
Fax
(317) 631-5872
NPI assigned
Sep 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 34000782A IN Primary

Addresses

Primary practice location

429 E Vermont St
Suite # 205
Indianapolis, IN 46202-3690

Mailing address

429 E Vermont St
Suite # 205
Indianapolis, IN 46202-3690
Phone (317) 423-0855

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34000782AINMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376646679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 E VERMONT ST",
            "address_2": "SUITE # 205",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023690",
            "telephone_number": "317-423-0855",
            "fax_number": "317-631-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E VERMONT ST",
            "address_2": "SUITE # 205",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023690",
            "telephone_number": "317-423-0855",
            "fax_number": "317-631-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWEENY",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MSSA, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000782A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.