Elizabeth Nicole Wampler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006048A Issued in IN

Practice address

1001 Hadley Rd Ste 103
Mooresville, IN 46158-1884

Phone

(317) 834-1144

Fax

(317) 834-1155

NPI assigned

Jul 23, 2012

Last updated

Mar 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ewampler419697@direct.franciscanalliance.org

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.

• Cummins Behavioral Health Systems, Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Avon, IN
  • NPI 1740232115
  Medicare reassignment NPD
• Hamilton Center, Inc.

  • Community/Behavioral Health Agency
  • Terre Haute, IN
  • NPI 1649007774
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1639424047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HADLEY RD STE 103",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581884",
            "telephone_number": "317-834-1144",
            "fax_number": "317-834-1155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "431 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "IN",
            "postal_code": "474241460",
            "country_code": "US",
            "telephone_number": "812-384-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "431 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "IN",
            "postal_code": "474241460",
            "country_code": "US",
            "telephone_number": "812-384-9452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8320 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462276066",
            "country_code": "US",
            "telephone_number": "317-882-5122",
            "fax_number": "317-888-8642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAMPLER",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006048A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewampler419697@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 Hadley Rd Ste 103",
            "city": "Mooresville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461581884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• G. Alan Von Stein, M.D.
• Jeanne Vrabel, PA
• Linda Wakefield, PHD
• Walgreen Co (Walgreens #06455)
• Amanda Marie Walter, M.D.
• Jamie Weaver, MT21003551
• Elizabeth Ann Webb, RPH
• Ronda Lynn Wells, M.D.
• Lisa A Whiteside, PA-C
• Whitson Vision PC

• Clinical Social Worker in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.