Individual provider Active NPI

January Jeter, LSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1487133039
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008821A Issued in IN
Practice address
4712 E 55TH St
Indianapolis, IN 46220-5702
Phone
(317) 603-7283
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 34008821A IN Primary
Social Worker 104100000X IN

Addresses

Primary practice location

4712 E 55TH St
Indianapolis, IN 46220-5702

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939

Other practice location 1

5515 W 38th St
Indianapolis, IN 46254-2995
Phone (317) 880-3838

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
I20230501002161 IN Practitioner - Clinical Social Worker 5193180909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9443 E 38TH St
Eskenazi Health Center
Indianapolis, IN 46235-2132
Phone (317) 890-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Health and Hospital Corporation of Marion County CurrentSince Mar 20, 2023 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Mar 20, 2023 Accepting new patients

Locations

6940 Michigan Rd
Ste 140
Indianapolis, IN 46268
Phone (317) 266-2901

720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

5525 W 34th St
Indianapolis, IN 46224
Phone (317) 848-7368

2505 N Arlington Ave
Indianapolis, IN 46218
Phone (317) 554-5200

5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838

9443 E 38th St
Indianapolis, IN 46235
Phone (317) 890-2100

3840 N Sherman Dr
Indianapolis, IN 46226
Phone (317) 541-3400

2700 Martin Luther King Jr St
Indianapolis, IN 46208
Phone (317) 931-4300

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1487133039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637764",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637764",
            "telephone_number": "317-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 E 55TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462205702",
            "telephone_number": "317-603-7283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5515 W 38th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462542995",
            "country_code": "US",
            "telephone_number": "317-880-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JETER",
        "first_name": "JANUARY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008821A",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.