Individual provider Active NPI

Trina Nicole Ransom, MSW, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1447761994
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3913 Shadow Pointe LN
Indianapolis, IN 46254-3752
Phone
(317) 331-0668
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 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 IN Primary

Addresses

Primary practice location

3913 Shadow Pointe LN
Indianapolis, IN 46254-3752

Mailing address

6401 Gateway Dr # 833
Indianapolis, IN 46253-5300

Other identifiers 1

IdentifierTypeStateIssuer
1265211270MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL address

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
I20171213000564 IN Practitioner - Clinical Social Worker 4688932023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Healthnet IncGroup PAC ID 7214840933, 77 clinicians

Practice addresses (Care Compare)

2855 N Keystone Ave
Suite 120
Indianapolis, IN 46218-2790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34007960AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Counseling Services, LLC Clinical CurrentSince Oct 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: trina.ransom@hn.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1447761994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 GATEWAY DR # 833",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462535300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 SHADOW POINTE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543752",
            "telephone_number": "317-331-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANSOM",
        "first_name": "TRINA",
        "middle_name": "NICOLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2024-04-12",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265211270",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "address",
            "affiliation": "N",
            "endpointDescription": "address",
            "address_1": "6401 Gateway Dr #833",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.