Veronika Sukupova, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

99087702A Issued in IN

Practice address

488 W Hospital Rd Ste 2
Paoli, IN 47454-8805

Phone

(812) 723-4301

NPI assigned

Sep 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifespring, Inc

  dba LifeSpring Health Systems

  • Community/Behavioral Health Agency
  • Dale, IN
  • NPI 1639029283
  NPD
• Lifespring, Inc

  • Community/Behavioral Health Agency
  • Paoli, IN
  • NPI 1821565920
  NPD
• Lifespring, Inc

  dba Southern Indiana Mental Health and Guidance Center of ECI

  • Community/Behavioral Health Agency
  • Jeffersonville, IN
  • NPI 1851489942
  NPD

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1952885378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S INDIANA AVE APT 2B",
            "city": "FRENCH LICK",
            "state": "IN",
            "postal_code": "474329367",
            "telephone_number": "812-296-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 W HOSPITAL RD STE 2",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474548805",
            "telephone_number": "812-723-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "523 N Main St",
            "address_purpose": "LOCATION",
            "city": "English",
            "state": "IN",
            "postal_code": "471183699",
            "country_code": "US",
            "telephone_number": "812-338-2756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUKUPOVA",
        "first_name": "VERONIKA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "99087702A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Steen, PA-C
• Brittany Renae Stout, FNP, NP-C
• Angela Dawn Stroud, OTR
• Joel Stroud, P.T.
• Heather Sturgill
• Brandy Terrell, LCSW
• Heather L. Terwiske, MSW, LSW
• Jaclynn Marie Thacker, APRN, NP-C
• Total Renal Care Inc (Paoli Dialysis)
• Michael K Vanemon, DDS

• Clinical Social Worker in Paoli, IN
• Providers in Paoli, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.