Carrie Breanne Vanvelse, LSW, HFA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3301148A Issued in IN

Practice address

10531 E 10TH St
Indianapolis, IN 46229-2604

Phone

(317) 683-8114

NPI assigned

Oct 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1548032592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 BOBTAIL DR",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461405536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10531 E 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292604",
            "telephone_number": "317-683-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVELSE",
        "first_name": "CARRIE",
        "middle_name": "BREANNE",
        "credential": "LSW, HFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "IN",
            "license": "14005255A",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IN",
            "license": "CNA1305348",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "3301148A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vantage Cancer Care Network of Indiana, LLC
• Vantage Point Children & Family Services, LLC
• Elizabeth Butler Vantassel, PH.D.
• James W Vantassel, MD
• Rachel Vantries, PA-C
• Heather Vanvoorhis, RBT
• Kamryn Vanwanzeele
• Kurt David Vanwinkle, D.D.S., M.S.D.
• Jon S Vanwoerkom, PA
• Sandra K Vanwye, NP

• Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.