Individual provider Active NPI

Sylvia Nowakowski, LCSW

  • Clinical Social Worker
  • Bloomington, IN
National Provider Identifier
1801517826
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010671A Issued in IN
Practice address
350 S Landmark Ave
Bloomington, IN 47403-5001
Phone
(812) 332-9874
Fax
(812) 335-7604
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33008828A IN
Clinical Social Worker 1041C0700X 34010671A IN Primary

Addresses

Primary practice location

350 S Landmark Ave
Bloomington, IN 47403-5001

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1614 25th St
Bedford, IN 47421-5000
Phone (812) 277-0118

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address snowakowski@direct.iuhealth.org Direct
Direct Messaging Address snowakowski@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230915001871 IN Practitioner - Clinical Social Worker 7911361431 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33008828AINMDSocial Worker
34010671AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC Clinical CurrentSince Jan 8, 2026 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Sep 6, 2023 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Sep 6, 2023 Accepting new patients

Locations

1614 25th St
Bedford, IN 47421
Phone (812) 277-0118

350 S Landmark Ave
Bloomington, IN 47403
Phone (812) 332-9874

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

Interoperability endpoints

  • Direct secure messaging: snowakowski@direct.iuhealth.org

Organizations & group practices 3

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1801517826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035001",
            "telephone_number": "812-332-9874",
            "fax_number": "812-335-7604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1614 25th St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474215000",
            "country_code": "US",
            "telephone_number": "812-277-0118",
            "fax_number": "812-277-0127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWAKOWSKI",
        "first_name": "SYLVIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33008828A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010671A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snowakowski@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "350 S Landmark Ave",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474035001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snowakowski@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1614 25th St",
            "city": "Bedford",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474215000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.