Individual provider Active NPI

Sherri D Bidwell, LCSW

  • Clinical Social Worker
  • Greenwood, IN
National Provider Identifier
1811953953
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005452A Issued in IN
Practice address
310 W Main St Ste 203
Greenwood, IN 46142-3130
Phone
(317) 279-5165
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 34005452A IN Primary

Addresses

Primary practice location

310 W Main St Ste 203
Greenwood, IN 46142-3130

Mailing address

460 N Valley LN
Greenwood, IN 46142-3673
Phone (317) 371-9970

Other practice location 1

285 Legacy Blvd
Greenwood, IN 46143-6776
Phone (317) 371-9970

Other identifiers 1

IdentifierTypeStateIssuer
100270530AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.therapyportal.com/p/concepts/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34005452AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Concepts in Healing, LLC Clinical CurrentSince Jun 6, 2021 Accepting new patients

Locations

310 W Main St
Ste 203
Greenwood, IN 46142
Phone (317) 279-5165

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1811953953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N VALLEY LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461423673",
            "telephone_number": "317-371-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W MAIN ST STE 203",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461423130",
            "telephone_number": "317-279-5165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 Legacy Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461436776",
            "country_code": "US",
            "telephone_number": "317-371-9970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDWELL",
        "first_name": "SHERRI",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005452A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270530A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.therapyportal.com/p/concepts/",
            "affiliation": "N",
            "endpointDescription": "Patient portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Patient forms between patient and therapist",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Forms",
            "address_1": "310 W Main St Ste 203",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461423130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.