Individual provider Active NPI

Danica M Shipp-McClendon, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1639921646
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004024 Issued in IN
Practice address
8180 Clearvista Pkwy Ste 200
Indianapolis, IN 46256-4622
Phone
(317) 355-2560
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 34004024 IN Primary

Addresses

Primary practice location

8180 Clearvista Pkwy Ste 200
Indianapolis, IN 46256-4622

Mailing address

8180 Clearvista Pkwy Ste 200
Indianapolis, IN 46256-4622
Phone (317) 355-2560

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
34004024INMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc. Past Accepting new patients
Community Physicians of Indiana Inc PastSince Apr 9, 2024 Accepting new patients

Organizations & group practices 2

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": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1639921646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 CLEARVISTA PKWY STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564622",
            "telephone_number": "317-355-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 CLEARVISTA PKWY STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564622",
            "telephone_number": "317-355-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP-MCCLENDON",
        "first_name": "DANICA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.