Active NPI
Jennifer Erin Maggard, LCSW
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1477885531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34004761A
- Practice address
- 2346 S Lynhurst Dr
Suite 101
Indianapolis, IN 46241-8621 - Phone
- (317) 502-6572
- NPI assigned
- Jan 31, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34004761A | IN | Primary |
Addresses
Primary practice location
2346 S Lynhurst Dr
Suite 101
Indianapolis, IN 46241-8621
Mailing address
2346 S Lynhurst Dr
Suite 101
Indianapolis, IN 46241-8621
Phone (317) 502-6572
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004761A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Thoughts Therapy LLC | Clinical | Past | Accepting new patients |
| Damar Services Inc | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Indianapolis, IN
- NPI 1235451543
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1427154814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1477885531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2346 S LYNHURST DR",
"address_2": "SUITE 101",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462418621",
"telephone_number": "317-502-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2346 S LYNHURST DR",
"address_2": "SUITE 101",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462418621",
"telephone_number": "317-502-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGARD",
"first_name": "JENNIFER",
"middle_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-31",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004761A",
"primary": true
}
],
"identifiers": [],
"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 Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.