Active NPI
Misty Dawn Dutton, LCSW
- Clinical Social Worker
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006480A
- Practice address
- 200 Medical Dr Ste D
Carmel, IN 46032-2985 - Phone
- (317) 674-3160
- Fax
- (317) 663-2951
- NPI assigned
- Aug 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33005335A | IN | |
| Clinical Social Worker | 1041C0700X | 34006480A | IN | Primary |
Addresses
Primary practice location
200 Medical Dr Ste D
Carmel, IN 46032-2985
Mailing address
9150 W Swimming Hole LN
Pendleton, IN 46064-8658
Phone (765) 425-8549
Other names 1
- Misty Dawn Rudig
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Medical Dr
Suite D
Carmel, IN 46032-2985
Phone (317) 674-3160
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.82 of 100
- Quality
- 96.14
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33005335A | IN | MD | Social Worker |
| 34006480A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Network, Inc | Current | Accepting new patients | |
| Insight Therapeutic Services LLC. | Clinical | Current | Accepting new patients |
| Community Health Network, Inc | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
200 Medical Dr
Ste D
Carmel, IN 46032
Phone (317) 207-0010
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533
1525 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 322-4087
333 N Alabama St
Indianapolis, IN 46204
Phone (317) 395-3391
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.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1265477632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1912199977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 W SWIMMING HOLE LN",
"city": "PENDLETON",
"state": "IN",
"postal_code": "460648658",
"telephone_number": "765-425-8549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL DR STE D",
"city": "CARMEL",
"state": "IN",
"postal_code": "460322985",
"telephone_number": "317-674-3160",
"fax_number": "317-663-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTTON",
"first_name": "MISTY",
"middle_name": "DAWN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33005335A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006480A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISTY",
"last_name": "RUDIG",
"middle_name": "DAWN",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.