Active NPI
Sanders Empowerment Services LLC
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1427673052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SANDERS EMPOWERMENT SERVICES LLC
- Practice address
- 5026 Clarkson Drive
Indianapolis, IN 46254 - Phone
- (317) 294-1434
- NPI assigned
- Jun 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edna Mae Sanders-Mensah, MSW, LCSW
- Title
- President
- Phone
- (317) 294-1434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5026 Clarkson Drive
Indianapolis, IN 46254
Mailing address
PO Box 532648
Indianapolis, IN 46253
Phone (317) 294-1434
Other names 1
- Sanders Empowerment Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591660800000",
"number": "1427673052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 532648",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46253",
"telephone_number": "317-294-1434",
"fax_number": "317-291-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5026 CLARKSON DRIVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46254",
"telephone_number": "317-294-1434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDERS EMPOWERMENT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-09",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A",
"authorized_official_last_name": "SANDERS-MENSAH",
"authorized_official_first_name": "EDNA",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-294-1434",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sanders Empowerment Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.