Individual provider Active NPI

Susan E Whitten, LCSW

  • Clinical Social Worker
  • Fishers, IN
National Provider Identifier
1568450633
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34003850A Issued in IN
Practice address
13050 Parkside Dr
Suite 240
Fishers, IN 46038-8235
Phone
(317) 621-1100
Fax
(317) 621-1000
NPI assigned
Oct 12, 2005
Last updated
May 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 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 34003850A IN Primary

Addresses

Primary practice location

13050 Parkside Dr
Suite 240
Fishers, IN 46038-8235

Mailing address

4860 Robb St
Ste 201
Wheat Ridge, CO 80033-2162
Phone (888) 948-6789

Other names 1

  • Mrs. Susan E Whitten-Hogan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34003850AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Viaquest Community Solutions, LLC CurrentSince Aug 14, 2022 Accepting new patients

Locations

7830 Johnson Rd
Indianapolis, IN 46250
Phone (317) 396-0683

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1568450633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 ROBB ST",
            "address_2": "STE 201",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332162",
            "telephone_number": "888-948-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 PARKSIDE DR",
            "address_2": "SUITE 240",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460388235",
            "telephone_number": "317-621-1100",
            "fax_number": "317-621-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003850A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WHITTEN-HOGAN",
            "middle_name": "E",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.