Individual provider Active NPI

Katheryn Lopshire, L.C.S.W.

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1538597281
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005758A Issued in IN
Practice address
6136 Terrytown Pkwy
Indianapolis, IN 46254-5049
Phone
(317) 679-2567
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 34005758A IN Primary

Addresses

Primary practice location

6136 Terrytown Pkwy
Indianapolis, IN 46254-5049

Mailing address

6136 Terrytown Pkwy
Indianapolis, IN 46254-5049
Phone (317) 760-3095

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
I20211028001271 IN Practitioner - Clinical Social Worker 8820486657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6136 Terrytown Pkwy
Indianapolis, IN 46254-5049
Phone (317) 760-3095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Oct 11, 2021 Accepting new patients
Mind Garden, LLC Clinical CurrentSince Feb 14, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 11, 2021 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

2040 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 355-2800

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

Organizations & group practices 3

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": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1538597281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 TERRYTOWN PKWY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545049",
            "telephone_number": "317-760-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 TERRYTOWN PKWY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545049",
            "telephone_number": "317-679-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPSHIRE",
        "first_name": "KATHERYN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005758A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.