Jeremy W Algate
Individual provider Active NPI Clinical Social Worker · Indianapolis, IN
NPI 1558069203 · NPPES record last updated Nov 11, 2024
Key facts
- NPI
- 1558069203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34009719A (IN)
- Practice address
- 8401 Harcourt Rd
Indianapolis, IN 46260-2036 - Phone
- (317) 338-4600
- NPI assigned
- Feb 22, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Vincent Hospital and Health Care Center Inc
Practice addresses (Care Compare)
8401 Harcourt Rd
Suite 302
Indianapolis, IN 46260-2036
Phone (317) 338-4600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231127001250 | IN | Practitioner - Clinical Social Worker | 8820459134 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34009719A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Hospital & Health Care Center, Inc. | Current |
Accepting new patients | |
| St. Vincent Hospital & Health Care Center, Inc. | Current |
Accepting new patients | |
| Mulberry Therapeutics Services, LLC | Clinical | Current |
Accepting new patients |
Locations
8401 Harcourt Rd
Ste 302
Indianapolis, IN 46260
Phone (317) 338-4600
250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211
8401 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 338-4600
2680 E Main St
Ste 227
Plainfield, IN 46168
Phone (765) 787-1195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34009719A | IN | Yes |
Addresses
Primary practice location
8401 Harcourt Rd
Indianapolis, IN 46260-2036
Mailing address
8401 Harcourt Rd
Indianapolis, IN 46260-2036
Other practice location 1
2680 E Main St Ste 227
Plainfield, IN 46168-2830
Phone (765) 787-1195
Other providers in Indianapolis, IN
- Cameron Nelson Alford
- Elizabeth N Alford
- Shannon Alford
- Jana Alfrhan
- Sana Alfrhan
- Wesam Alhadid
- Dana Alhaffar
- Omar Alhaffar
- Sarah Anne Alhaffar
- Ali M Dohan MD Inc
All providers in Indianapolis, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.