Individual provider Active NPI

Angelica Marilyn Ronke, MSW, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1881380376
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010441A Issued in IN
Practice address
6144 Hillside Ave Ste 11
Indianapolis, IN 46220-2474
Phone
(502) 705-3906
NPI assigned
Apr 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Clinical Social Worker 1041C0700X 34010441A IN Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

6144 Hillside Ave Ste 11
Indianapolis, IN 46220-2474

Mailing address

6144 Hillside Ave Ste 11
Indianapolis, IN 46220-2474
Phone (502) 705-3906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 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
I20230608000956 IN Practitioner - Clinical Social Worker 5294192183 Reassigns benefits to 3 organizations
I20240617001945 FL Practitioner - Clinical Social Worker 5294192183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Kokwaa LLC CurrentSince Jul 1, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince May 17, 2023 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

17 N 5th Ave
#1021
Beech Grove, IN 46107

6144 Hillside Ave
Ste 11
Indianapolis, IN 46220
Phone (317) 667-0773

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

Organizations & group practices 4

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": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1881380376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 HILLSIDE AVE STE 11",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202474",
            "telephone_number": "502-705-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 HILLSIDE AVE STE 11",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462202474",
            "telephone_number": "502-705-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONKE",
        "first_name": "ANGELICA",
        "middle_name": "MARILYN",
        "name_prefix": "Dr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010441A",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.