Individual provider Active NPI

Melissa Pitcher, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1558730762
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007337A Issued in IN
Practice address
6626 E 75TH Street
Ste 500
Indianapolis, IN 46250-2890
Phone
(317) 621-7561
Fax
(317) 355-6096
NPI assigned
Sep 17, 2015
Last updated
Sep 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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 34007337A IN Primary

Addresses

Primary practice location

6626 E 75TH Street
Ste 500
Indianapolis, IN 46250-2890

Mailing address

145 W Green Meadows Dr
Greenfield, IN 46140-4001

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
I20150922002040 IN Practitioner - Clinical Social Worker 5193032258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 N Niles Ave
Suite 101
South Bend, IN 46617-1923
Phone (574) 406-1520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34007337AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc CurrentSince Sep 1, 2015 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Apr 1, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 1, 2024 Accepting new patients
Community Health Network, Inc Past Accepting new patients

Locations

1185 W Carmel Dr
Ste D4
Carmel, IN 46032
Phone (317) 208-2300

145 W Green Meadows Dr
Greenfield, IN 46140
Phone (317) 318-7100

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

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

424 Perry St
La Porte, IN 46350
Phone (219) 809-0333

701 N Niles Ave
Ste 101
South Bend, IN 46617
Phone (574) 406-1520

Interoperability endpoints

  • Direct secure messaging: melissa.pitcher.1@28621.direct.athenahealth.com

Organizations & group practices 5

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1558730762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W GREEN MEADOWS DR",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461404001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6626 E 75TH STREET",
            "address_2": "STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7561",
            "fax_number": "317-355-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITCHER",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007337A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.