Individual provider Active NPI

Louise Walker Loving Polansky, LCSW, LMHC, LCAC

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1508142597
Registry record updated May 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34002385A Issued in IN
Practice address
5555 N Tacoma Ave
Suite 11
Indianapolis, IN 46220-3512
Phone
(317) 730-2039
Fax
(317) 257-7540
NPI assigned
Oct 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87000228A IN
Mental Health Counselor 101YM0800X 39000451A IN
Clinical Social Worker 1041C0700X 34002385A IN Primary

Addresses

Primary practice location

5555 N Tacoma Ave
Suite 11
Indianapolis, IN 46220-3512

Mailing address

7845 Harbour Isle
Indianapolis, IN 46240-3462
Phone (317) 730-2039

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
I20141106002030 IN Practitioner - Clinical Social Worker 5698997617 Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87000228AINMDAddiction (Substance Use Disorder) Counselor
39000451AINMDMental Health Counselor
34002385AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aims-Med, LLC PastSince Sep 17, 2023 Accepting new patients

Organizations & group practices 1

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": "1319328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463270400000",
    "number": "1508142597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7845 HARBOUR ISLE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403462",
            "telephone_number": "317-730-2039",
            "fax_number": "317-257-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N TACOMA AVE",
            "address_2": "SUITE 11",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203512",
            "telephone_number": "317-730-2039",
            "fax_number": "317-257-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANSKY",
        "first_name": "LOUISE",
        "middle_name": "WALKER LOVING",
        "name_prefix": "Ms.",
        "credential": "LCSW, LMHC, LCAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-23",
        "last_updated": "2016-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000228A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000451A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002385A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.