Individual provider Active NPI

Melissa Marie Hendricks, LCSW

  • Clinical Social Worker
  • Shelbyville, IN
National Provider Identifier
1407379928
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006608A
Practice address
2451 Intelliplex Dr Ste 260
Shelbyville, IN 46176-8581
Phone
(317) 398-0121
Fax
(317) 398-0538
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 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 34006608A Primary

Addresses

Primary practice location

2451 Intelliplex Dr Ste 260
Shelbyville, IN 46176-8581

Mailing address

30 W Rampart St Ste 200
Shelbyville, IN 46176-8846
Phone (317) 421-2012

Other names 1

  • Melissa Marie Lemler 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
I20180827001997 IN Practitioner - Clinical Social Worker 4284983172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Major HospitalGroup PAC ID 0446167415, 100 clinicians

Practice addresses (Care Compare)

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 392-3211

30 W Rampart St
Suite 200
Shelbyville, IN 46176-5526

30 W Rampart St
Suite 200
Shelbyville, IN 46176-8846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc CurrentSince Aug 14, 2018 Accepting new patients
Major Hospital CurrentSince Jul 14, 2023 Accepting new patients
X-Ray Physicians of Shelbyville PC Current Accepting new patients
Major Hospital CurrentSince Jul 14, 2023 Accepting new patients
Kenosis Center, Inc. Clinical Past Accepting new patients
Kenosis Counseling Center, Inc. Clinical Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

9670 E Washington St
Ste 120
Indianapolis, IN 46229
Phone (317) 890-5700

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

2451 Intelliplex Dr
Ste 260
Shelbyville, IN 46176
Phone (317) 398-0121

Organizations & group practices 6

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1407379928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST STE 200",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768846",
            "telephone_number": "317-421-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DR STE 260",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768581",
            "telephone_number": "317-398-0121",
            "fax_number": "317-398-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "34006608A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LEMLER",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.