Individual provider Active NPI

Alyssa J. Schutte, LCSW, LICSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1801254982
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009305A Issued in IN
Practice address
7300 E Indiana St Ste 103
Evansville, IN 47715-7448
Phone
(812) 401-8008
Fax
(812) 401-8201
NPI assigned
Feb 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 123324 MA
Clinical Social Worker 1041C0700X 34009305A IN Primary

Addresses

Primary practice location

7300 E Indiana St Ste 103
Evansville, IN 47715-7448

Mailing address

7300 E Indiana St Ste 103
Evansville, IN 47715-7448
Phone (812) 401-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, IN2 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

Enrollment IDStateProvider typePAC IDDetails
I20210316002738 MA Practitioner - Clinical Social Worker 1456767474 Reassigns benefits to 1 organization
I20210604001099 IN Practitioner - Clinical Social Worker 1456767474 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123324MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Sep 13, 2023 Accepting new patients
Deaconess Hospital, Inc Clinical CurrentSince Jun 2, 2021 Accepting new patients
Echo Community Health Care, Inc. CurrentSince Sep 4, 2024 Accepting new patients
Deaconess Hospital Inc Clinical CurrentSince Jun 2, 2021 Accepting new patients
Echo Community Health Care, Inc CurrentSince Sep 4, 2024 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

445 N Cross Pointe Blvd
Evansville, IN 47715
Phone (812) 402-2003

401 John St
Evansville, IN 47713
Phone (812) 436-0224

315 Mulberry St
Evansville, IN 47713
Phone (812) 421-7489

25 W Division St
Evansville, IN 47710
Phone (812) 436-0205

7200 E Indiana St
Evansville, IN 47715
Phone (812) 476-7200

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

Organizations & group practices 6

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": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1801254982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 E INDIANA ST STE 103",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157448",
            "telephone_number": "812-401-8008",
            "fax_number": "812-401-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 E INDIANA ST STE 103",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157448",
            "telephone_number": "812-401-8008",
            "fax_number": "812-401-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTTE",
        "first_name": "ALYSSA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123324",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009305A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.