Individual provider Active NPI

Malinda June Perkins, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1508162868
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005328A Issued in IN
Practice address
4411 Washington Ave
Ste. 200
Evansville, IN 47714-0805
Phone
(812) 479-1916
Fax
(812) 479-5014
NPI assigned
Feb 3, 2011
Last updated
Feb 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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 3182 KY
Clinical Social Worker 1041C0700X 34005328A IN Primary

Addresses

Primary practice location

4411 Washington Ave
Ste. 200
Evansville, IN 47714-0805

Mailing address

4411 Washington Ave
Ste. 200
Evansville, IN 47714-0805
Phone (812) 479-1916

Other names 1

  • Mindy Perkins Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34005328AINMDClinical Social Worker
3182KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Luzio & Associates Behavioral Services, Inc. Clinical PastSince Oct 26, 2018 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, 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": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1508162868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE",
            "address_2": "STE. 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140805",
            "telephone_number": "812-479-1916",
            "fax_number": "812-479-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 WASHINGTON AVE",
            "address_2": "STE. 200",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140805",
            "telephone_number": "812-479-1916",
            "fax_number": "812-479-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "MALINDA",
        "middle_name": "JUNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3182",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005328A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "PERKINS",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.