Active NPI
Luke Douglas Harty, LCSW
- Clinical Social Worker
- Greenwood, IN
National Provider Identifier
1639882996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007874A
- Practice address
- 48 N Emerson Ave Ste 650
Greenwood, IN 46143-5522 - Phone
- (317) 966-8260
- NPI assigned
- Jan 3, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34007874A | IN | Primary |
Addresses
Primary practice location
48 N Emerson Ave Ste 650
Greenwood, IN 46143-5522
Mailing address
5304 Himalayan Dr
Indianapolis, IN 46239-8967
Phone (317) 966-8260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 6, 2024 through Feb 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007874A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1639882996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5304 HIMALAYAN DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462398967",
"telephone_number": "317-966-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 N EMERSON AVE STE 650",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461435522",
"telephone_number": "317-966-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTY",
"first_name": "LUKE",
"middle_name": "DOUGLAS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2023-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007874A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.