Active NPI
Mary Tuttle, LSW
- Social Worker
- Carmel, IN
National Provider Identifier
1609601723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 99124766A
- Practice address
- 580 E Carmel Dr Ste 400
Carmel, IN 46032-3316 - Phone
- (323) 251-9123
- NPI assigned
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 99124766A | IN | Primary |
Addresses
Primary practice location
580 E Carmel Dr Ste 400
Carmel, IN 46032-3316
Mailing address
1114 Frederick Dr S
Indianapolis, IN 46260-3421
Phone (323) 251-9123
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99124766A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1609601723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 FREDERICK DR S",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462603421",
"telephone_number": "323-251-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 E CARMEL DR STE 400",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323316",
"telephone_number": "323-251-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "MARY",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "99124766A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.