Individual provider Active NPI

Dorothy M Stein, PHD, MSW, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1710631429
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005807A Issued in IN
Practice address
6310 Stallion Way
Indianapolis, IN 46260-2858
Phone
(317) 431-0548
Fax
(317) 299-0274
NPI assigned
Feb 10, 2022
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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 34005807A IN Primary

Addresses

Primary practice location

6310 Stallion Way
Indianapolis, IN 46260-2858

Mailing address

6310 Stallion Way
Indianapolis, IN 46260-2858
Phone (317) 431-0548

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
I20220509000928 IN Practitioner - Clinical Social Worker 5799162970 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34005807AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Onhealthcare LLC Clinical CurrentSince Apr 1, 2022 Accepting new patients
Onhealthcare, LLC Current Accepting new patients
Matthew E Glasser Past Accepting new patients

Locations

8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 537-9522

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1710631429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 STALLION WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602858",
            "telephone_number": "317-431-0548",
            "fax_number": "317-299-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 STALLION WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602858",
            "telephone_number": "317-431-0548",
            "fax_number": "317-299-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "DOROTHY",
        "middle_name": "M",
        "credential": "PHD, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005807A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.