Individual provider Active NPI

Keshia Knight, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1871192534
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008550A Issued in IN
Practice address
10122 E 10TH St Ste 220
Indianapolis, IN 46229-2664
Phone
(317) 621-5719
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 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 34008550A IN Primary

Addresses

Primary practice location

10122 E 10TH St Ste 220
Indianapolis, IN 46229-2664

Mailing address

6987 N Abilene Way
McCordsville, IN 46055-6037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201026002790 IN Practitioner - Clinical Social Worker 2163842410 Reassigns benefits to 5 organizations
I20250228002342 IL Practitioner - Clinical Social Worker 2163842410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008550AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Aug 25, 2023 Accepting new patients
Midwest Post Acute Care PLLC Clinical CurrentSince Dec 2, 2024 Accepting new patients
Sondermind PC Clinical CurrentSince Feb 1, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 19, 2020 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 19, 2020 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305

1210 Medical Arts Blvd
Ste 300
Anderson, IN 46011
Phone (765) 298-4550

200 W Green Meadows Dr
Greenfield, IN 46140
Phone (317) 462-3311

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

10122 E 10th St
Ste 220
Indianapolis, IN 46229
Phone (317) 355-2200

333 N Alabama St
Indianapolis, IN 46204
Phone (317) 395-3391

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

Organizations & group practices 7

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": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1871192534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6987 N ABILENE WAY",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460556037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10122 E 10TH ST STE 220",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292664",
            "telephone_number": "317-621-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "KESHIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008550A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.