Active NPI
Michelle E Anesu, LCSW
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1740682483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007304A
- Practice address
- 8904 Bash St Ste B
Indianapolis, IN 46256-1286 - Phone
- (317) 735-6001
- NPI assigned
- Sep 25, 2014
- Last updated
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34007304A | IN | Primary |
Addresses
Primary practice location
8904 Bash St Ste B
Indianapolis, IN 46256-1286
Mailing address
8904 Bash St Ste B
Indianapolis, IN 46256-1286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1740682483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8904 BASH ST STE B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8904 BASH ST STE B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561286",
"telephone_number": "317-735-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANESU",
"first_name": "MICHELLE",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-25",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007304A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.