Organization Active NPI

Sanders Empowerment Services LLC

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1427673052
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jun 9, 2020

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.