Individual provider Active NPI

Darnae' Lamon Scales, LCSW, MSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1477989259
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006445A Issued in IN
Practice address
2910 Pointe Bay Rd Ste a
Indianapolis, IN 46229-0004
Phone
(463) 280-5469
Fax
(317) 597-8843
NPI assigned
Sep 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 34006445A IN Primary

Addresses

Primary practice location

2910 Pointe Bay Rd Ste a
Indianapolis, IN 46229-0004

Mailing address

2910 Pointe Bay Rd
Indianapolis, IN 46229-0004
Phone (463) 280-5469

Other identifiers 2

IdentifierTypeStateIssuer
12561973OtherINANTHEM-CAQH
1477989259OtherINPERSONAL NPI #

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

LicenseStateTypeSpecialty
34006445AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1477989259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 POINTE BAY RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462290004",
            "telephone_number": "463-280-5469",
            "fax_number": "317-597-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 POINTE BAY RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462290004",
            "telephone_number": "463-280-5469",
            "fax_number": "317-597-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALES",
        "first_name": "DARNAE'",
        "middle_name": "LAMON",
        "name_prefix": "Mr.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006445A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-CAQH",
            "identifier": "12561973",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI #",
            "identifier": "1477989259",
            "state": "IN"
        }
    ],
    "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 Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.