Individual provider Active NPI

Tristisa Yvette Hampton, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1407570807
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34011747A Issued in IN
Practice address
201 Shelby St
Indianapolis, IN 46202-3943
Phone
(317) 574-1254
Fax
(317) 674-0060
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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 34011747A IN Primary

Addresses

Primary practice location

201 Shelby St
Indianapolis, IN 46202-3943

Mailing address

697 Pro Med LN
Carmel, IN 46032-5323
Phone (317) 574-1254

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://mail.google.com/mail/u/2/#inbox

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
I20250529002148 IN Practitioner - Clinical Social Worker 3678092913 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

8102 Clearvista Pkwy
Indianapolis, IN 46256-1661
Phone (317) 849-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34011747AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc Current Accepting new patients
Aspire Indiana Inc. Clinical CurrentSince Mar 16, 2026 Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 20, 2025 Accepting new patients
Community Health Network, Inc CurrentSince May 20, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 20, 2025 Accepting new patients
Cascading Hearts, LLC CurrentSince Sep 21, 2025 Accepting new patients
Experience, Strength, Hope, LLC. Clinical PastSince Oct 2, 2022 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

4038 Ridgeview Dr
#1
Anderson, IN 46013
Phone (317) 587-0533

4038 Ridgeview Dr
Anderson, IN 46013

697 Pro Med Ln
Carmel, IN 46032
Phone (317) 574-0055

201 Shelby St
Rm 101103
Indianapolis, IN 46202
Phone (317) 587-0517

8102 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 572-9319

4954 E 56th St
Ste 9
Indianapolis, IN 46220
Phone (317) 492-7738

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7165 Clearvista Way
Indianapolis, IN 46256
Phone (317) 621-5100

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

201 Shelby St
Indianapolis, IN 46202
Phone (317) 637-9816

9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500

Organizations & group practices 8

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1407570807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 PRO MED LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325323",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SHELBY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023943",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "TRISTISA",
        "middle_name": "YVETTE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011747A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mail.google.com/mail/u/2/#inbox",
            "affiliation": "N",
            "address_1": "4954 E 56th St Ste 9",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462205769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.