Individual provider Active NPI

Megan Lyn Trible, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1912655275
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006277A Issued in IN
Practice address
5307 Madison Ave
Indianapolis, IN 46227-4226
Phone
(317) 501-0505
NPI assigned
Mar 16, 2022
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34006277A IN Primary

Addresses

Primary practice location

5307 Madison Ave
Indianapolis, IN 46227-4226

Mailing address

5307 Madison Ave
Indianapolis, IN 46227-4226
Phone (317) 501-0505

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
I20230404000572 IN Practitioner - Clinical Social Worker 1658746706 Reassigns benefits to 3 organizations
I20230809003874 FL Practitioner - Clinical Social Worker 1658746706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006277AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adult and Child Mental Health Center Inc CurrentSince Jul 25, 2024 Accepting new patients
Adult and Child Mental Health Center Inc CurrentSince Jul 25, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Mar 16, 2023 Accepting new patients

Locations

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

1860 Northwood Plz
Franklin, IN 46131
Phone (317) 346-2000

8320 Madison Ave
Indianapolis, IN 46227
Phone (317) 881-7061

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

Interoperability endpoints

  • Direct secure messaging: megan.trible.p1@direct.adultandchild.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1912655275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 MADISON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462274226",
            "telephone_number": "317-501-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 MADISON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462274226",
            "telephone_number": "317-501-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIBLE",
        "first_name": "MEGAN",
        "middle_name": "LYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006277A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.