Active NPI
Mary Cottom Krammes, LCSW
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1942687009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34004766A
- Practice address
- 5230 E Stop 11 Rd Ste 350
Indianapolis, IN 46237-6402 - Phone
- (317) 783-8383
- NPI assigned
- Apr 28, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34004766A | IN | Primary |
Addresses
Primary practice location
5230 E Stop 11 Rd Ste 350
Indianapolis, IN 46237-6402
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
9247 Broadway
Suite B
Merrillville, IN 46410-7018
Phone (219) 769-6970
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkrammes243472@Direct.FranciscanAlliance.org | Direct |
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 |
|---|---|---|---|
| 34004766A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Reflections Counseling, Inc | Clinical | Past | Accepting new patients |
Interoperability endpoints
- mkrammes243472@direct.franciscanalliance.org
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Merrillville, IN
- NPI 1407025364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1942687009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 E STOP 11 RD STE 350",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462376402",
"telephone_number": "317-783-8383"
}
],
"practiceLocations": [
{
"address_1": "9247 Broadway",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464107018",
"country_code": "US",
"telephone_number": "219-769-6970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAMMES",
"first_name": "MARY",
"middle_name": "COTTOM",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-28",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004766A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkrammes243472@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5230 E Stop 11 Rd Ste 350",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462376402",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.