Stephanie Milan, LSW

Individual provider Active NPI Clinical Social Worker · Delphi, IN

NPI 1770191389 · NPPES record last updated Oct 9, 2024

Key facts

NPI
1770191389
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
0904014724 (VA)
Practice address
304 W Front St
Delphi, IN 46923-1519
Phone
(765) 202-2574
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20211118001126 IN Practitioner - Clinical Social Worker 0446649115 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
33008948AINMDSocial Worker
0904014724VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Peace Therapy LLC Clinical Current
since Aug 12, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904014724 VA Yes
Social Worker 104100000X 33008948A IN

Addresses

Primary practice location

304 W Front St
Delphi, IN 46923-1519

Mailing address

PO Box 566
Delphi, IN 46923-0566
Phone (765) 202-2574

Other providers in Delphi, IN

All providers in Delphi, IN · Clinical Social Worker in Indiana

Sources for this page

Verify at the official NPI Registry.