Individual provider Active NPI

Cagney Ryan Gladin, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1659161990
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5325 E 82ND St
Indianapolis, IN 46250-4510
Phone
(812) 994-0902
NPI assigned
May 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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 Primary

Addresses

Primary practice location

5325 E 82ND St
Indianapolis, IN 46250-4510

Mailing address

2037 Lohr Dr
Indianapolis, IN 46214-3287
Phone (260) 442-1587

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
I20250604004051 IN Practitioner - Clinical Social Worker 3375052814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Limelight Recovery LLCGroup PAC ID 8921404294, 3 clinicians

Practice addresses (Care Compare)

8619 Lake Clearwater LN
Indianapolis, IN 46240-7727
Phone (812) 994-0902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Limelight Recovery LLC Clinical CurrentSince Apr 29, 2025 Accepting new patients

Locations

5325 E 82nd St
Indianapolis, IN 46250
Phone (812) 994-0902

Organizations & group practices 1

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": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1659161990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 LOHR DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143287",
            "telephone_number": "260-442-1587",
            "fax_number": "812-782-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 E 82ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504510",
            "telephone_number": "812-994-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADIN",
        "first_name": "CAGNEY",
        "middle_name": "RYAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.