Individual provider Active NPI

Patricia Juan House, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1932219862
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34001701A Issued in IN
Practice address
1104 E 35TH St
Indianapolis, IN 46205-3601
Phone
(317) 372-1015
Fax
(317) 253-7388
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 34001701A IN Primary

Addresses

Primary practice location

1104 E 35TH St
Indianapolis, IN 46205-3601

Mailing address

PO Box 88824
Indianapolis, IN 46208-0824
Phone (317) 372-1015

Other identifiers 2

IdentifierTypeStateIssuer
34001701AOtherINSTATE LICENSE NO
000000221076OtherINANTHEM

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

LicenseStateTypeSpecialty
34001701AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greenhouse and Associates Inc. Past Accepting new patients
Green House and Associates Inc Clinical PastSince Nov 1, 2010 Accepting new patients

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932219862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88824",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462080824",
            "telephone_number": "317-372-1015",
            "fax_number": "317-253-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E 35TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053601",
            "telephone_number": "317-372-1015",
            "fax_number": "317-253-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "PATRICIA",
        "middle_name": "JUAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001701A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NO",
            "identifier": "34001701A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000221076",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.