Active NPI
Susan Marie Pittman, LCSW
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1437257060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007770A
- Practice address
- 5610 Crawfordsville Rd
Ste 22
Indianapolis, IN 46224-3727 - Phone
- (317) 246-4027
- Fax
- (317) 243-2328
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | 34007770A | IN | Primary |
Addresses
Primary practice location
5610 Crawfordsville Rd
Ste 22
Indianapolis, IN 46224-3727
Mailing address
5610 Crawfordsville Rd
Ste 22
Indianapolis, IN 46224-3727
Phone (317) 246-4027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100270530A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007770A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health and Hospital Corporation of Marion County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1104027879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1437257060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5610 CRAWFORDSVILLE RD",
"address_2": "STE 22",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462243727",
"telephone_number": "317-246-4027",
"fax_number": "317-243-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 CRAWFORDSVILLE RD",
"address_2": "STE 22",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462243727",
"telephone_number": "317-246-4027",
"fax_number": "317-243-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007770A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100270530A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}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 Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.