Individual provider Active NPI

Jeremy P Lareau, LSW

  • Social Worker
  • Noblesville, IN
National Provider Identifier
1457167462
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33010755A Issued in IN
Practice address
205 Westfield Rd
Noblesville, IN 46060-1424
Phone
(317) 770-2841
NPI assigned
Dec 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33010755A IN Primary

Addresses

Primary practice location

205 Westfield Rd
Noblesville, IN 46060-1424

Mailing address

21208 Carlton CT
Noblesville, IN 46062-8001
Phone (317) 376-9670

Other practice location 1

8401 Harcourt Rd
Indianapolis, IN 46260-2036
Phone (317) 338-4604

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
I20250213002087 IN Practitioner - Clinical Social Worker 6901336957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

395 Westerfield Rd
Noblesville, IN 46060-1425
Phone (317) 773-0760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33010755AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Nov 29, 2024 Accepting new patients
Riverview Hospital CurrentSince Nov 29, 2024 Accepting new patients

Locations

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

205 Westfield Rd
Noblesville, IN 46060
Phone (317) 770-2841

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": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1457167462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21208 CARLTON CT",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628001",
            "telephone_number": "317-376-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WESTFIELD RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601424",
            "telephone_number": "317-770-2841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Harcourt Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602036",
            "country_code": "US",
            "telephone_number": "317-338-4604",
            "fax_number": "317-338-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAREAU",
        "first_name": "JEREMY",
        "middle_name": "P",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33010755A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.