Individual provider Active NPI

Stephanie Dexter

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1669908109
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34001461A Issued in IN
Practice address
740 E 52ND St
Indianapolis, IN 46205-1172
Phone
(317) 253-7387
Fax
(317) 253-7388
NPI assigned
May 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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 34001461A IN Primary

Addresses

Primary practice location

740 E 52ND St
Indianapolis, IN 46205-1172

Mailing address

740 E 52ND St
Indianapolis, IN 46205-1172
Phone (317) 253-7387

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
I20170511002285 IN Practitioner - Clinical Social Worker 0446537880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R P Therapy LLCGroup PAC ID 4789076373, 8 clinicians

Practice addresses (Care Compare)

6326 Constitution Dr
Fort Wayne, IN 46804-1518
Phone (260) 515-3275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34001461AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Onhealthcare LLC Clinical CurrentSince Apr 1, 2022 Accepting new patients
Onhealthcare, LLC CurrentSince Apr 1, 2022 Accepting new patients
Onhealthcare, LLC Current Accepting new patients
R P Therapy LLC CurrentSince Jul 12, 2024 Accepting new patients
Onhealthcare LLC Past Accepting new patients

Locations

6326 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 515-3275

8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 537-9522

Organizations & group practices 5

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1669908109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E 52ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051172",
            "telephone_number": "317-253-7387",
            "fax_number": "317-253-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E 52ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051172",
            "telephone_number": "317-253-7387",
            "fax_number": "317-253-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001461A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.