Individual provider Active NPI

Regina Congrove, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1699641068
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34012283A Issued in IN
Practice address
2506 Willowbrook Pkwy Ste 111
Indianapolis, IN 46205-1542
Phone
(317) 574-1254
Fax
(317) 674-0060
NPI assigned
Oct 14, 2025
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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 34012283A IN Primary

Addresses

Primary practice location

2506 Willowbrook Pkwy Ste 111
Indianapolis, IN 46205-1542

Mailing address

697 Pro Med LN
Carmel, IN 46032-5323
Phone (317) 574-1254

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
I20251103001698 IN Practitioner - Clinical Social Worker 9436648029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspire Indiana IncGroup PAC ID 4486635455, 18 clinicians

Practice addresses (Care Compare)

2506 Willowbrook Pkwy
Suite 111
Indianapolis, IN 46205-1542
Phone (317) 574-1254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34012283AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Indiana Inc. Clinical CurrentSince Oct 13, 2025 Accepting new patients
Aspire Indiana Health Inc CurrentSince Oct 13, 2025 Accepting new patients
Aspire Indiana Health Inc. CurrentSince Oct 13, 2025 Accepting new patients

Locations

2009 Brown St
Anderson, IN 46016
Phone (765) 393-3891

697 Pro Med Ln
Carmel, IN 46032
Phone (317) 574-0055

201 Shelby St
Rm 101103
Indianapolis, IN 46202
Phone (317) 587-0517

2506 Willowbrook Pkwy
Ste 111
Indianapolis, IN 46205
Phone (317) 475-7270

2506 Willowbrook Pkwy
Ste 300
Indianapolis, IN 46205
Phone (317) 257-3903

9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1699641068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 PRO MED LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325323",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 WILLOWBROOK PKWY STE 111",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051542",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGROVE",
        "first_name": "REGINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34012283A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.