Active NPI
Guy Elliot Lovell Sr.
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1659549962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34000330A
- Practice address
- 25 Beachway Drive
Suite C
Indianapolis, IN 46224 - Phone
- (317) 788-4111
- Fax
- (317) 788-7783
- NPI assigned
- Feb 20, 2008
- Last updated
- Feb 20, 2008
- 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 | 34000330A | IN | Primary |
Addresses
Primary practice location
25 Beachway Drive
Suite C
Indianapolis, IN 46224
Mailing address
25 Beachway Drive
Suite C Supportive Systems LLC
Indianapolis, IN 46224
Phone (317) 788-4111
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34000330A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Hospital & Health Care Center, Inc. | Past | Accepting new patients | |
| St. Vincent Hospital & Health Care Center, Inc. | Past | Accepting new patients | |
| Supportive Systems, LLC | Clinical | Past | Accepting new patients |
| Supportive Systems | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Ascension St. Vincent Pharmacy
- Community/Retail Pharmacy
- Indianapolis, IN
- NPI 1194929646
-
dba Ascension St. Vincent Stress Center
- Psychiatry Physician
- Indianapolis, IN
- NPI 1689869893
-
- Community/Behavioral Health Agency
- Indianapolis, IN
- NPI 1932460987
-
- Clinical Social Worker
- Indianapolis, IN
- NPI 1871771493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1659549962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BEACHWAY DRIVE",
"address_2": "SUITE C SUPPORTIVE SYSTEMS LLC",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46224",
"telephone_number": "317-788-4111",
"fax_number": "317-788-7783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BEACHWAY DRIVE",
"address_2": "SUITE C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46224",
"telephone_number": "317-788-4111",
"fax_number": "317-788-7783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELL",
"first_name": "GUY",
"middle_name": "ELLIOT",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34000330A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.