Individual provider Active NPI

Salma Mohiuddin, LCSW

  • Clinical Social Worker
  • Carmel, IN
National Provider Identifier
1710504980
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008453A Issued in IN
Practice address
12415 Springbrooke Run
Carmel, IN 46033-9148
Phone
(317) 969-5701
NPI assigned
Jul 2, 2020
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2607970 OH
Clinical Social Worker 1041C0700X LICSW1143204 MA
Clinical Social Worker 1041C0700X 257408 KY
Clinical Social Worker 1041C0700X 149031202 IL
Clinical Social Worker 1041C0700X 34008453A IN Primary

Addresses

Primary practice location

12415 Springbrooke Run
Carmel, IN 46033-9148

Mailing address

12415 Springbrooke Run
Carmel, IN 46033-9148
Phone (317) 969-5701

Other practice location 1

110 W Vine St Fl 3
Lexington, KY 40507-1658
Phone (317) 969-5701

Other practice location 2

1821 W Hubbard St Ste 209
Chicago, IL 60622-6273
Phone (317) 969-5701

Other practice location 3

800 N High St
Columbus, OH 43215-1430
Phone (317) 969-5701

Other practice location 4

1660 Soldiers Field Rd
Boston, MA 02135-1108
Phone (317) 969-5701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, OH, MA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20260519004028 IN Practitioner - Clinical Social Worker 0143799148 Reassigns benefits to 1 organization
I20260623003296 KY Practitioner - Clinical Social Worker 0143799148 Reassigns benefits to 1 organization
I20260624000117 OH Practitioner - Clinical Social Worker 0143799148 Reassigns benefits to 1 organization
I20260624000378 MA Practitioner - Clinical Social Worker 0143799148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12415 Springbrooke Run
Carmel, IN 46033-9148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008453AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Salam Therapy Clinical CurrentSince Aug 2, 2020 Accepting new patients

Locations

110 W Vine St
Fl 3
Lexington, KY 40507
Phone (317) 969-5701

1660 Soldiers Field Rd
Brighton, MA 02135
Phone (413) 281-0999

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

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, 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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1710504980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12415 SPRINGBROOKE RUN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339148",
            "telephone_number": "317-969-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12415 SPRINGBROOKE RUN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339148",
            "telephone_number": "317-969-5701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W Vine St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405071658",
            "country_code": "US",
            "telephone_number": "317-969-5701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 W Hubbard St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606226273",
            "country_code": "US",
            "telephone_number": "317-969-5701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432151430",
            "country_code": "US",
            "telephone_number": "317-969-5701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1660 Soldiers Field Rd",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021351108",
            "country_code": "US",
            "telephone_number": "317-969-5701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "SALMA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2607970",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1143204",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257408",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149031202",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008453A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.