Active NPI
Shamika Morales, LCSW, LCAC
- Clinical Social Worker
- Anderson, IN
National Provider Identifier
1912245382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006217A
- Practice address
- 1601 Medical Arts Blvd Ste 100
Anderson, IN 46011-3459 - Phone
- (317) 621-5719
- NPI assigned
- Jan 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 87001427A | IN | |
| Clinical Social Worker | 1041C0700X | 34006217A | IN | Primary |
Addresses
Primary practice location
1601 Medical Arts Blvd Ste 100
Anderson, IN 46011-3459
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
10475 Crosspoint Blvd
Ste 250
Indianapolis, IN 46256-3386
Phone (317) 340-3151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000876330 | Other | IN | ANTHEM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87001427A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1912245382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 MEDICAL ARTS BLVD STE 100",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460113459",
"telephone_number": "317-621-5719"
}
],
"practiceLocations": [
{
"address_1": "10475 Crosspoint Blvd",
"address_2": "Ste 250",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462563386",
"country_code": "US",
"telephone_number": "317-340-3151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORALES",
"first_name": "SHAMIKA",
"credential": "LCSW, LCAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-19",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "87001427A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006217A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000876330",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.