SUSANA WILSON (NPI# 1336565761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336565761 |
| Entity Type | Individual |
| Full Name | SUSANA WILSON |
| Credential | LCSW |
| Practice Address |
2040 N Shadeland Ave Ste 250 Indianapolis IN 46219-1711 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3173555009 |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34006913A | IN | Behavioral Health & Social Service Providers |
| Street Address |
2040 N SHADELAND AVE STE 250 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641074 | Louis Michael Wright | Internal Medicine | 2040 N Shadeland Ave, Suite 310, Indianapolis, IN 46219-1711 | 2005-07-07 |
| 1730637455 | Cortney Dammeier | Counselor | 2040 N Shadeland Ave, Ste 200, Indianapolis, IN 46219-1711 | 2016-09-12 |
| 1104279181 | Kimberly Hardin | Dietitian, Registered | 2040 N Shadeland Ave, Ste. 300, Indianapolis, IN 46219-1711 | 2016-07-14 |
| 1720443328 | Melissa H Davis | Social Worker | 2040 N Shadeland Ave, Ste 250, Indianapolis, IN 46219-1711 | 2015-12-23 |
| 1962870444 | Kelly Mckinney | Registered Nurse | 2040 N Shadeland Ave, Ste 300, Indianapolis, IN 46219-1711 | 2015-09-14 |
| 1336515428 | Courtney Burrus | Registered Nurse | 2040 N Shadeland Ave, Ste 300, Indianapolis, IN 46219-1711 | 2015-08-12 |
| 1609252253 | Karleen Ritchie | Pharmacist | 2040 N Shadeland Ave, Indianapolis, IN 46219-1711 | 2015-08-05 |
| 1710329313 | Sarah A Schinbeckler | Nurse Practitioner | 2040 N Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2013-07-24 |
| 1225385651 | Jennifer L O'neal | Counselor | 2040 N Shadeland Ave, Suite 200, Indianapolis, IN 46219-1711 | 2012-08-03 |
| 1295001329 | Teykia Elice Deveaux | Pediatrics | 2040 N Shadeland Ave, Indianapolis, IN 46219-1711 | 2012-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808886 | Joan Marie Witt | Social Worker | 205 E Hickory Ln, Indianapolis, IN 46227-2447 | 2020-10-13 |
| 1821695008 | Belinda Shelton Gamble | Social Worker | 9650 E Washington St Ste 245, Indianapolis, IN 46229-3032 | 2020-10-01 |
| 1225642234 | Charlotte Cox | Social Worker | 124 N Oriental St, Indianapolis, IN 46202-3842 | 2020-09-07 |
| 1477167641 | Laura Marie Lines | Social Worker | 9165 Otis Ave Ste 215, Indianapolis, IN 46216-2316 | 2020-09-03 |
| 1477167815 | Cydaria Lashon Cooke | Social Worker | 7909 Preservation Dr, Indianapolis, IN 46278-9553 | 2020-09-02 |
| 1790396760 | Restored Pieces LLC | Social Worker | 7210 Mars Dr, Indianapolis, IN 46241-3693 | 2020-08-13 |
| 1215546973 | Tammy M Skinner | Social Worker | 1633 N Capitol Ave # Mt301, Indianapolis, IN 46202-1261 | 2020-07-29 |
| 1922626092 | Heartland Healing Counseling Services | Social Worker | 2432 Conservatory Dr Fl 2, Indianapolis, IN 46203-3985 | 2020-07-06 |
| 1710504980 | Salma Mohiuddin | Social Worker | 3418 Bodelva Ln, Indianapolis, IN 46228-2894 | 2020-07-02 |
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.