Nicole Menton, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34009759A Issued in IN

Practice address

4326 Patricia St
Indianapolis, IN 46222-1543

Phone

(317) 226-4261

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Gerber Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1821728437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N BRUCE ST",
            "city": "LADOGA",
            "state": "IN",
            "postal_code": "479547306",
            "telephone_number": "317-970-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 PATRICIA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221543",
            "telephone_number": "317-226-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTON",
        "first_name": "NICOLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009759A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mentonn@rocketmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "4326 Patricia St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462221543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GERBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mental Health Association in Indiana, Inc.
• Mental Health Association of Indiana
• Mental Health Centers of Indiana, LLC
• Mental Health Solutions and Recovery LLC
• Mental Help Provider LLC
• Mentor Abi, LLC
• Mentor Abi, LLC D/B/a Neurorestorative Indiana
• Mentor Healthcare LLC
• Mentoring With Magic Home Services
• Mentors of America, LLC

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.