Individual provider Active NPI

Axa Troncoso, CSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1588925218
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006424A Issued in IN
Practice address
7165 Clearvista Way
Indianapolis, IN 46256-4621
Phone
(317) 621-5100
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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 34006424A IN Primary

Addresses

Primary practice location

7165 Clearvista Way
Indianapolis, IN 46256-4621

Mailing address

6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ATRONCOSO208523@ECOMMUNITYDIRECT.COM Community Physicians of Indiana Inc

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
I20150428001043 IN Practitioner - Clinical Social Worker 5496074353 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porter-Starke Services IncGroup PAC ID 1951293554, 44 clinicians

Practice addresses (Care Compare)

3176 Lancer St
Suite B
Portage, IN 46368-4408
Phone (219) 806-3000

Merit-based Incentive Payment System (MIPS)

Final score
99.82 of 100Reported as group
Quality
96.14
Promoting interoperability
100
Improvement activities
40
Cost
82.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006424AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc CurrentSince Nov 7, 2016 Accepting new patients
Porter-Starke Services Inc. CurrentSince Sep 30, 2025 Accepting new patients
Porter-Starke Services Inc. CurrentSince Sep 30, 2025 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Community Howard Regional Health Inc CurrentSince Jul 5, 2017 Accepting new patients
Community Health Network, Inc. Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

205 N Jackson St
Frankfort, IN 46041
Phone (765) 659-4771

7165 Clearvista Way
Indianapolis, IN 46256
Phone (317) 621-5100

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

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

3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702

3176 Lancer St
Ste B
Portage, IN 46368
Phone (219) 806-3000

601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011

Interoperability endpoints

  • Direct secure messaging: atroncoso208523@ecommunitydirect.com

Organizations & group practices 6

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1588925218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 CLEARVISTA WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564621",
            "telephone_number": "317-621-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRONCOSO",
        "first_name": "AXA",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006424A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ATRONCOSO208523@ECOMMUNITYDIRECT.COM",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "7165 Clearvista Way",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462564621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.