Individual provider Active NPI

Joanne Ghormley, LCSW

  • Clinical Social Worker
  • Greenfield, IN
National Provider Identifier
1932358249
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006232A Issued in IN
Practice address
740 W Green Meadows Dr
Greenfield, IN 46140-3097
Phone
(317) 621-5719
NPI assigned
Sep 10, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 34006232A IN Primary

Addresses

Primary practice location

740 W Green Meadows Dr
Greenfield, IN 46140-3097

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

2506 Willowbrook Pkwy
Suite 300
Indianapolis, IN 46205-1564
Phone (317) 574-1254

Other practice location 2

2506 Willowbrook Pkwy
Suite 300
Indianapolis, IN 46205-1564
Phone (317) 574-1254

Other identifiers 1

IdentifierTypeStateIssuer
100073590MedicaidIN

Other names 1

  • Jo Anne Ash Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000811 IN Practitioner - Clinical Social Worker 3375713746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

10122 E 10TH St
Indianapolis, IN 46229-2664

12130 E Washington St
Suite a
Indianapolis, IN 46229-2955
Phone (317) 355-7752

7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006232AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Indiana Inc. Clinical CurrentSince Aug 1, 2011 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Feb 12, 2018 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Feb 12, 2018 Accepting new patients
Aspire Indiana Health Inc PastSince Aug 1, 2011 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

2506 Willowbrook Pkwy
Ste 111
Indianapolis, IN 46205
Phone (317) 587-0567

2506 Willowbrook Pkwy
Ste 300
Indianapolis, IN 46205
Phone (317) 587-0567

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500

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, 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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932358249",
    "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": "740 W GREEN MEADOWS DR",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403097",
            "telephone_number": "317-621-5719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2506 Willowbrook Pkwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462051564",
            "country_code": "US",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2506 Willowbrook Pkwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462051564",
            "country_code": "US",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHORMLEY",
        "first_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006232A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100073590",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO",
            "last_name": "ASH",
            "middle_name": "ANNE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.