Individual provider Active NPI

Katie Watkins

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1437982592
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009484A Issued in IN
Practice address
6067 Decatur Blvd
Indianapolis, IN 46241-9606
Phone
(317) 903-9023
NPI assigned
Aug 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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 34009484A IN Primary

Addresses

Primary practice location

6067 Decatur Blvd
Indianapolis, IN 46241-9606

Mailing address

6067 Decatur Blvd
Indianapolis, IN 46241-9606
Phone (317) 903-9023

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
I20240904002910 IN Practitioner - Clinical Social Worker 4880134923 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Damar Services Inc Current Accepting new patients
Damar Services Inc. CurrentSince Aug 26, 2024 Accepting new patients

Locations

6067 Decatur Blvd
Indianapolis, IN 46241
Phone (317) 455-2366

7421 Heathrow Way
Indianapolis, IN 46241

5715 Decatur Blvd
Indianapolis, IN 46241
Phone (317) 455-2366

1640 N Ritter Ave
Indianapolis, IN 46218
Phone (317) 355-3104

Organizations & group practices 2

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": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1437982592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6067 DECATUR BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419606",
            "telephone_number": "317-903-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6067 DECATUR BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419606",
            "telephone_number": "317-903-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009484A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.