Indra Keliuotis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13532 Issued in CT

Practice address

54 Flat Swamp Rd
Newtown, CT 06470-1859

Phone

(203) 907-6452

NPI assigned

Dec 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1700654688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 FLAT SWAMP RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701859",
            "telephone_number": "203-907-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 FLAT SWAMP RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701859",
            "telephone_number": "203-907-6452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38C Grove St",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "CT",
            "postal_code": "068774669",
            "country_code": "US",
            "telephone_number": "203-907-6452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELIUOTIS",
        "first_name": "INDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John a Dudley DMD and Deider M Condon DMD LLC
• Joshua E. Baum, DMD
• Sarah Katrulya, LCSW
• Andrea Jean Kaufmann, PA
• Anne-Marie Keegan, LICSW
• Jessica Kelly
• David Michael Kessler, DDS
• Charbel Khattar
• Nicole M King, OTR/L
• Aaron Robert Kirby

• Clinical Social Worker in Newtown, CT
• Providers in Newtown, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.