Individual provider Active NPI

Kami Lynn Bowersox, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1699408351
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009939A Issued in IN
Practice address
6330 W 71St St
Indianapolis, IN 46278-1784
Phone
(317) 280-1319
NPI assigned
Jul 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34009939A IN Primary
Clinical Social Worker 1041C0700X I.2507095-SUPV OH
Clinical Social Worker 1041C0700X 53884 TX

Addresses

Primary practice location

6330 W 71St St
Indianapolis, IN 46278-1784

Mailing address

1474 Turncoat Cir
Indianapolis, IN 46234-9804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220806000636 TX Practitioner - Clinical Social Worker 9931581949 Reassigns benefits to 1 organization
I20251107003822 IN Practitioner - Clinical Social Worker 9931581949 Reassigns benefits to 1 organization
I20251112002174 OH Practitioner - Clinical Social Worker 9931581949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34009939AINMDClinical Social Worker
I.2507095-SUPVOHMDClinical Social Worker
53884TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 30, 2025 Accepting new patients

Locations

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

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": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1699408351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 TURNCOAT CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462349804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 W 71ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781784",
            "telephone_number": "317-280-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERSOX",
        "first_name": "KAMI",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009939A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2507095-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.