Individual provider Active NPI

Laura Uzelac, MSW, LCSW, LCAC

  • Clinical Social Worker
  • East Chicago, IN
National Provider Identifier
1699114033
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3903 Indianapolis Blvd
East Chicago, IN 46312-2555
Phone
(219) 398-7050
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3903 Indianapolis Blvd
East Chicago, IN 46312-2555

Mailing address

8400 Louisiana St
Merrillville, IN 46410-6385
Phone (219) 757-1928

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address luzelac6543@themethodisthospitals.direct-ci.com Direct Porter-Starke Services Inc.

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
I20130917000226 IN Practitioner - Clinical Social Worker 7012151863 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Porter-Starke Services Inc. CurrentSince Feb 7, 2016 Accepting new patients
Southlake Community Mental Health Center Inc. CurrentSince Jun 17, 2013 Accepting new patients
Porter-Starke Services Inc. CurrentSince Feb 7, 2016 Accepting new patients
Porter-Starke Services Inc. Past Accepting new patients
Porter-Starke Services, Inc. Past Accepting new patients

Locations

3903 Indianapolis Blvd
East Chicago, IN 46312
Phone (219) 392-6001

3229 Broadway
Ste 104
Gary, IN 46409
Phone (219) 487-5800

3229 Broadway
Ste 115
Gary, IN 46409
Phone (219) 806-3000

3229 Broadway
Ste 205
Gary, IN 46409
Phone (219) 806-3000

704 S State Road 2
Hebron, IN 46341
Phone (219) 806-3011

8555 Taft St
Merrillville, IN 46410
Phone (219) 736-7232

8400 Louisiana St
Merrillville, IN 46410
Phone (219) 757-1924

601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011

701 Wall St
Valparaiso, IN 46383
Phone (219) 299-8419

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1699114033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 LOUISIANA ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106385",
            "telephone_number": "219-757-1928",
            "fax_number": "219-757-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 INDIANAPOLIS BLVD",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463122555",
            "telephone_number": "219-398-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZELAC",
        "first_name": "LAURA",
        "credential": "MSW, LCSW, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "luzelac6543@themethodisthospitals.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Porter-Starke Services Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3229 Broadway",
            "city": "Gary",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464091036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

Verify at the official NPI Registry.