Individual provider Active NPI

Margaret Prosser Black, LCSW

  • Clinical Social Worker
  • Fishers, IN
National Provider Identifier
1730141441
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005080A Issued in IN
Practice address
13050 Parkside Dr
Suite 240
Fishers, IN 46038-8247
Phone
(317) 621-1100
Fax
(317) 621-1000
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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 34005080A IN Primary

Addresses

Primary practice location

13050 Parkside Dr
Suite 240
Fishers, IN 46038-8247

Mailing address

8355 Rockville Rd 120
Indianapolis, IN 46234-2722
Phone (317) 908-1678

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
I20101116000558 IN Practitioner - Clinical Social Worker 7911959796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael S Miller DO Facos CWS PCGroup PAC ID 6406935733, 6 clinicians

Practice addresses (Care Compare)

3850 Shore Dr
Suite 315
Indianapolis, IN 46254-4693
Phone (317) 429-0061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Buckingham and Associates PC CurrentSince Sep 1, 2000 Accepting new patients
Creative Solutions for Wellness, LLC Clinical Current Accepting new patients
Creative Solutions for Wellness LLC Clinical CurrentSince Nov 30, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Michael S. Miller DO, Facos, CWS, PC CurrentSince Sep 17, 2014 Accepting new patients

Locations

13050 Parkside Dr
Ste 240
Fishers, IN 46038
Phone (317) 621-1100

8202 Clearvista Pkwy
Bldg 7
Indianapolis, IN 46256
Phone (317) 288-9942

3850 Shore Dr
Ste 315
Indianapolis, IN 46254
Phone (317) 429-0061

8355 Rockville Rd
#120
Indianapolis, IN 46234

Interoperability endpoints

  • Direct secure messaging: margaretblack@tdh.allscriptsdirect.net

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1730141441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 ROCKVILLE RD 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462342722",
            "telephone_number": "317-908-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 PARKSIDE DR",
            "address_2": "SUITE 240",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460388247",
            "telephone_number": "317-621-1100",
            "fax_number": "317-621-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "MARGARET",
        "middle_name": "PROSSER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005080A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.