Individual provider Active NPI

Melissa Jane Truax, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1457465387
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005276A Issued in IN
Practice address
8202 Clearvista Pkwy Ste 7
Indianapolis, IN 46256-1400
Phone
(317) 288-9942
Fax
(317) 288-9945
NPI assigned
Aug 18, 2006
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87000532A IN
Clinical Social Worker 1041C0700X 34005276A IN Primary

Addresses

Primary practice location

8202 Clearvista Pkwy Ste 7
Indianapolis, IN 46256-1400

Mailing address

8202 Clearvista Pkwy Ste 7
Indianapolis, IN 46256-1400
Phone (317) 288-9942

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
I20100622000115 IN Practitioner - Clinical Social Worker 4183755028 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buckingham and Associates PCGroup PAC ID 9739241720, 5 clinicians

Practice addresses (Care Compare)

8202 Clearvista Pkwy
BLDG 7
Indianapolis, IN 46256-1400
Phone (317) 288-9942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87000532AINMDAddiction (Substance Use Disorder) Counselor
34005276AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cleanslate Medical Group of Indiana LLC CurrentSince Oct 1, 2022 Accepting new patients
Buckingham and Associates PC CurrentSince Jul 2, 2020 Accepting new patients

Locations

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

8202 Clearvista Pkwy
Bldg 7
Indianapolis, IN 46256
Phone (317) 288-9942

8202 Clearvista Pkwy
Ste 7
Indianapolis, IN 46256
Phone (317) 288-9942

18051 River Rd
Ste 101
Noblesville, IN 46062
Phone (317) 674-0062

Organizations & group practices 3

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1457465387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 CLEARVISTA PKWY STE 7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561400",
            "telephone_number": "317-288-9942",
            "fax_number": "317-288-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 CLEARVISTA PKWY STE 7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561400",
            "telephone_number": "317-288-9942",
            "fax_number": "317-288-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUAX",
        "first_name": "MELISSA",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000532A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005276A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.