Individual provider Active NPI

Courtney Ambler Sebo, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1801522099
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009676A Issued in IN
Practice address
8205 E 56TH St
Indianapolis, IN 46216-1003
Phone
(812) 247-8010
NPI assigned
Jul 28, 2022
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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 34009676A IN Primary

Addresses

Primary practice location

8205 E 56TH St
Indianapolis, IN 46216-1003

Mailing address

8205 E 56TH St
Indianapolis, IN 46216-1003
Phone (812) 247-8010

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
I20220926001037 IN Practitioner - Clinical Social Worker 5193101392 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34009676AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Behavioral Health LLC CurrentSince Sep 28, 2023 Accepting new patients
Baume Psychological Services, P.C. CurrentSince Sep 22, 2022 Accepting new patients
Emerald Neuro-Recover PastSince Feb 11, 2020 Accepting new patients

Locations

7950 Ortho Ln
Ste 20
Brownsburg, IN 46112

12265 Hancock St
Ste 42
Carmel, IN 46032
Phone (317) 606-8778

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

8205 E 56th St
Ste 200
Indianapolis, IN 46216
Phone (317) 554-4220

10801 N Michigan Rd
Ste 240
Zionsville, IN 46077
Phone (317) 732-9550

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1801522099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 E 56TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161003",
            "telephone_number": "812-247-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 E 56TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161003",
            "telephone_number": "812-247-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBO",
        "first_name": "COURTNEY",
        "middle_name": "AMBLER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009676A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.