Sujata Ghate, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34009175A Issued in IN

Practice address

735 Shelby St Ste 31
Indianapolis, IN 46203-1167

Phone

(317) 661-1124

NPI assigned

Dec 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IN, OH2 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 2

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bridges Community Services IncGroup PAC ID 4688010127, 5 clinicians

Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sghate@direct.iuhealth.org

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.

• Iu Health Medical Group, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1326893777

  Clinical

  Medicare reassignment Care Compare group NPD
• Bridges Community Services Inc

  • Mental Health Counselor
  • Murrieta, CA
  • NPI 1245009612

  IN, OH, Single Specialty

  Medicare reassignment Care Compare group NPD
• Indiana University Health Care Associates, Inc

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1902032832

  Single Specialty

  Medicare reassignment NPD
• Growing Seasons LLC

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1548025133

  Single Specialty

  NPD Authorized official
• Bridges Community Services Inc

  • Counselor
  • Murrieta, CA
  • NPI 1508582818

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1730848235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 SHELBY ST STE 31",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031167",
            "telephone_number": "317-661-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 SHELBY ST STE 31",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031167",
            "telephone_number": "317-661-1124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462041077",
            "country_code": "US",
            "telephone_number": "317-963-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHATE",
        "first_name": "SUJATA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-12",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009175A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300082890",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steve@stevemonte.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA-secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "735 Shelby St Ste 31",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462031167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sghate@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "950 N Meridian St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462041077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• GG Residential Care, LLC
• GH Dental
• Marwan Samir Ghabril, M.D.
• Ramsey Ghaleb
• Neelima Ghanta, D.O.
• Soheir E Ghattas, MD
• Ayat Nourledin Ghazy, MD
• Wintana Ghebrehiwet
• Amanuel Z Ghebremedhin
• Esther Russtom Ghebremichael, DDS

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.