Individual provider Active NPI

Melissa Sue Sichting, LCSW, LCAC

  • Clinical Social Worker
  • Greenwood, IN
National Provider Identifier
1760705487
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005875A Issued in IN
Practice address
3209 W Smith Valley Rd
Suite 223
Greenwood, IN 46142-8495
Phone
(317) 884-3144
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34005875A IN Primary
Clinical Social Worker 1041C0700X 87001238A IN

Addresses

Primary practice location

3209 W Smith Valley Rd
Suite 223
Greenwood, IN 46142-8495

Mailing address

3209 W Smith Valley Rd
Suite 223
Greenwood, IN 46142-8495
Phone (317) 884-3144

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34005875AINMDClinical Social Worker
87001238AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1760705487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 W SMITH VALLEY RD",
            "address_2": "SUITE 223",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461428495",
            "telephone_number": "317-884-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W SMITH VALLEY RD",
            "address_2": "SUITE 223",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461428495",
            "telephone_number": "317-884-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICHTING",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "credential": "LCSW, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005875A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "87001238A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.