Individual provider Active NPI

Stephanie Cueche, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1952769028
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007120A Issued in IN
Practice address
1133 W Mill Rd Ste 211
Evansville, IN 47710-3806
Phone
(812) 612-1488
NPI assigned
Feb 4, 2016
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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 34007120A IN Primary

Addresses

Primary practice location

1133 W Mill Rd Ste 211
Evansville, IN 47710-3806

Mailing address

PO Box 55107
Indianapolis, IN 46205-0107
Phone (317) 253-7387

Other practice location 1

740 E 52nd St Ste 1
Indianapolis, IN 46205-1169
Phone (317) 253-7387

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
I20160216001648 IN Practitioner - Clinical Social Worker 8820393648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1133 W Mill Rd
Suite 211
Evansville, IN 47710-3806
Phone (812) 612-1488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34007120AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Awakening, LLC CurrentSince Jan 18, 2021 Accepting new patients
Greenhouse and Associates Inc. Past Accepting new patients

Locations

1133 W Mill Rd
Ste 211
Evansville, IN 47710
Phone (812) 250-9255

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, 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": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1952769028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462050107",
            "telephone_number": "317-253-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 W MILL RD STE 211",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103806",
            "telephone_number": "812-612-1488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 E 52nd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462051169",
            "country_code": "US",
            "telephone_number": "317-253-7387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUECHE",
        "first_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007120A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.