Organization Active NPI

Unbroken, LLC

  • Clinical Social Worker
  • Greenwood, IN
National Provider Identifier
1699470658
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
UNBROKEN, LLC
Doing business as
UNBROKEN, LLC
Practice address
1518 Valdarno Dr
Greenwood, IN 46143-0018
Phone
(317) 979-5479
Fax
(317) 870-1703
NPI assigned
Mar 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
Ms. Sarah BentNPI 1861061012
Title
LCSW
Phone
(317) 979-5479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1518 Valdarno Dr
Greenwood, IN 46143-0018

Mailing address

1518 Valdarno Dr
Greenwood, IN 46143-0018
Phone (317) 979-5479

Other names 1

  • UNBROKEN, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250428004078 IN Part B Supplier - Clinic/Group Practice 3173049699 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1699470658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 VALDARNO DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461430018",
            "telephone_number": "317-979-5479",
            "fax_number": "317-870-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 VALDARNO DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461430018",
            "telephone_number": "317-979-5479",
            "fax_number": "317-870-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBROKEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "BENT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "317-979-5479",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNBROKEN, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.