Active NPI
Valeta Wilson, LSW
- Social Worker
- East Chicago, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33006279A
- Practice address
- 4009 Melville Ave
East Chicago, IN 46312-2735 - Phone
- (219) 805-2941
- NPI assigned
- Feb 23, 2013
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 33006279A | IN | Primary |
Addresses
Primary practice location
4009 Melville Ave
East Chicago, IN 46312-2735
Mailing address
4009 Melville Ave
East Chicago, IN 46312-2735
Phone (219) 805-2941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150715001287 | IN | Practitioner - Clinical Social Worker | 0042523326 | Reassigns benefits to 2 organizations |
| I20240422001621 | IL | Practitioner - Clinical Social Worker | 0042523326 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33006279A | IN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002
Organizations & group practices 2
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": "1361577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361577600000",
"number": "1871833103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 MELVILLE AVE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463122735",
"telephone_number": "219-805-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4009 MELVILLE AVE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463122735",
"telephone_number": "219-805-2941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "VALETA",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-23",
"last_updated": "2013-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33006279A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Chicago, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.