Individual provider Active NPI

Lacey J. Rentschler-Miller, MSW, LCSW

  • Clinical Social Worker
  • Greenwood, IN
National Provider Identifier
1508253543
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006187A Issued in IN
Practice address
1700 W Smith Valley Rd Ste B4
Greenwood, IN 46142-1589
Phone
(317) 886-1000
Fax
(317) 886-1001
NPI assigned
Apr 16, 2015
Last updated
May 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34006187A IN Primary

Addresses

Primary practice location

1700 W Smith Valley Rd Ste B4
Greenwood, IN 46142-1589

Mailing address

1700 W Smith Valley Rd Ste B4
Greenwood, IN 46142-1589
Phone (317) 886-1000

Other names 1

  • Lacey J. Rentschler Professional name

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
I20160510001200 IN Practitioner - Clinical Social Worker 9234428566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1700 W Smith Valley Rd
Suite B4
Greenwood, IN 46142-1589
Phone (317) 886-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunstone Health & Wellness, Inc. CurrentSince Mar 16, 2016 Accepting new patients

Locations

1700 W Smith Valley Rd
Ste B4
Greenwood, IN 46142
Phone (317) 886-1000

8310 Allison Pointe Blvd
Ste 202
Indianapolis, IN 46250
Phone (317) 886-1000

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1508253543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W SMITH VALLEY RD STE B4",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421589",
            "telephone_number": "317-886-1000",
            "fax_number": "317-886-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W SMITH VALLEY RD STE B4",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421589",
            "telephone_number": "317-886-1000",
            "fax_number": "317-886-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTSCHLER-MILLER",
        "first_name": "LACEY",
        "middle_name": "J.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006187A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "RENTSCHLER",
            "middle_name": "J.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.