Active NPI
Nikki A. Presley, LCSW, LCAC
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1871693903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34001840A
- Practice address
- 4847 E. Virginia Suite D
Evansville, IN 47715 - Phone
- (812) 479-1242
- Fax
- (812) 479-1330
- NPI assigned
- Sep 25, 2006
- Last updated
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34001840A | IN | Primary |
Addresses
Primary practice location
4847 E. Virginia Suite D
Evansville, IN 47715
Mailing address
4847 E. Virginia Suite D
Evansville, IN 47715
Phone (812) 479-1242
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000488008 | Other | IN | ANTHEM PIN |
| 65945420 | Other | KY | MEDICAID GROUP |
| 237890 | Other | IN | MEDICARE GROUP |
| 200829650D | Other | IN | MEDICAID GROUP |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehabilitation,Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Tell City, IN
- NPI 1154319101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1871693903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4847 E. VIRGINIA SUITE D",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "47715",
"telephone_number": "812-479-1242",
"fax_number": "812-479-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4847 E. VIRGINIA SUITE D",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "47715",
"telephone_number": "812-479-1242",
"fax_number": "812-479-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESLEY",
"first_name": "NIKKI",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "LCSW, LCAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34001840A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000488008",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "65945420",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "237890",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "200829650D",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.