Individual provider Active NPI

Jessie Sue Loghmani, LCSW

  • Clinical Social Worker
  • Lebanon, IN
National Provider Identifier
1962903757
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007920A Issued in IN
Practice address
610 N Lebanon St
Lebanon, IN 46052-1716
Phone
(765) 680-0071
Fax
(765) 680-0468
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 34007920A IN Primary

Addresses

Primary practice location

610 N Lebanon St
Lebanon, IN 46052-1716

Mailing address

610 N Lebanon St
Lebanon, IN 46052-1716

Other names 1

  • Jessie Sue McKay Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nulife Greenwood LLC Current Accepting new patients
Nulife Indiana, Inc CurrentSince Jan 1, 2023 Accepting new patients
Nulife Brownsburg LLC Current Accepting new patients

Locations

9623 Windermere Blvd
Fishers, IN 46037
Phone (806) 230-1770

Organizations & group practices 3

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": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1962903757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521716",
            "telephone_number": "765-680-0071",
            "fax_number": "765-680-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGHMANI",
        "first_name": "JESSIE",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007920A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "MCKAY",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.