Individual provider Active NPI

Alicia Marie Johnson Bryant, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1578924924
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008948A Issued in IN
Practice address
6530 Capricorn Dr
Indianapolis, IN 46237-4833
Phone
(317) 373-0749
NPI assigned
Mar 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW005753 GA
Clinical Social Worker 1041C0700X CSW007058 GA
Clinical Social Worker 1041C0700X 34008948A IN Primary

Addresses

Primary practice location

6530 Capricorn Dr
Indianapolis, IN 46237-4833

Mailing address

6530 Capricorn Dr
Indianapolis, IN 46237-4833
Phone (317) 373-0749

Other practice location 1

950 N Meridian St
Indianapolis, IN 46204-1077
Phone (317) 963-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajohnsonbryant@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSW005753GAMDSocial Worker
CSW007058GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc CurrentSince Mar 1, 2024 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Aspire Indiana Inc. Clinical CurrentSince Jun 7, 2023 Accepting new patients
Community Health Network, Inc CurrentSince Apr 17, 2023 Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

2009 Brown St
Anderson, IN 46016
Phone (765) 393-3891

697 Pro Med Ln
Carmel, IN 46032
Phone (317) 574-0055

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

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

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

2506 Willowbrook Pkwy
Ste 300
Indianapolis, IN 46205
Phone (317) 587-0567

950 N Meridian St
Indianapolis, IN 46204
Phone (317) 963-2200

9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500

Interoperability endpoints

  • Direct secure messaging: ajohnsonbryant@direct.iuhealth.org

Organizations & group practices 4

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": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1578924924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 CAPRICORN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462374833",
            "telephone_number": "317-373-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 CAPRICORN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462374833",
            "telephone_number": "317-373-0749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462041077",
            "country_code": "US",
            "telephone_number": "317-963-2200",
            "fax_number": "317-963-1621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON BRYANT",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW005753",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007058",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008948A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajohnsonbryant@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "950 N Meridian St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462041077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.