Individual provider Active NPI

Kara M Skevis, MSW, LSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1780425108
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
99124733A Issued in IN
Practice address
8130 S Meridian St Ste 4a
Indianapolis, IN 46217-4960
Phone
(317) 889-0635
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 99124733A IN Primary

Addresses

Primary practice location

8130 S Meridian St Ste 4a
Indianapolis, IN 46217-4960

Mailing address

7323 Sandy Cove Way Apt 1014
Indianapolis, IN 46217-2233
Phone (815) 546-3585

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
99124733AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Tides Counseling, LLC Clinical CurrentSince Apr 13, 2025 Accepting new patients

Locations

8130 S Meridian St
Ste 4A
Indianapolis, IN 46217
Phone (317) 520-1481

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.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1780425108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7323 SANDY COVE WAY APT 1014",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462172233",
            "telephone_number": "815-546-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 S MERIDIAN ST STE 4A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462174960",
            "telephone_number": "317-889-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEVIS",
        "first_name": "KARA",
        "middle_name": "M",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "99124733A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.