Individual provider Active NPI

Thea Leigh Luigs, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1669961256
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2015 Maxwell Ave
Evansville, IN 47711-4359
Phone
(812) 422-7974
Fax
(812) 671-0627
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2015 Maxwell Ave
Evansville, IN 47711-4359

Mailing address

415 Mulberry St
Evansville, IN 47713-1230
Phone (812) 423-7791

Other practice location 1

60 S Stockwell Rd
Evansville, IN 47714-0247
Phone (812) 476-5437

Other practice location 2

1 N Barker Ave
Evansville, IN 47712-5601
Phone (812) 423-4418

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
I20201104000816 IN Practitioner - Clinical Social Worker 6800206780 Reassigns benefits to 1 organization
Practice locations: Evansville, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2015 Maxwell Ave
Evansville, IN 47711-4359
Phone (812) 422-7974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innerspace Center for Emotional Health LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

101 N Plaza East Blvd
Ste 230
Evansville, IN 47715
Phone (812) 413-0315

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1669961256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MULBERRY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131230",
            "telephone_number": "812-423-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MAXWELL AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114359",
            "telephone_number": "812-422-7974",
            "fax_number": "812-671-0627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 S Stockwell Rd",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140247",
            "country_code": "US",
            "telephone_number": "812-476-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 N Barker Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477125601",
            "country_code": "US",
            "telephone_number": "812-423-4418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUIGS",
        "first_name": "THEA",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.