Individual provider Active NPI

Bronagh Palkin, LCSW

  • Clinical Social Worker
  • Noblesville, IN
National Provider Identifier
1831942598
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34011100A Issued in IN
Practice address
154 Carey Dr
Noblesville, IN 46060-1301
Phone
(317) 296-4021
NPI assigned
Apr 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 34011100A IN
Clinical Social Worker 1041C0700X 34011100A IN Primary

Addresses

Primary practice location

154 Carey Dr
Noblesville, IN 46060-1301

Mailing address

8922 Haverstick Rd
Indianapolis, IN 46240-2039
Phone (317) 828-4834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34011100AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Roots LLC Mental Health CurrentSince Apr 14, 2024 Accepting new patients

Locations

154 Carey Dr
Noblesville, IN 46060
Phone (317) 296-4021

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": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1831942598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8922 HAVERSTICK RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402039",
            "telephone_number": "317-828-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CAREY DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601301",
            "telephone_number": "317-296-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALKIN",
        "first_name": "BRONAGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34011100A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011100A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.