PHYLLIS GATESKILL STARKS (NPI# 1750496063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750496063 |
| Entity Type | Individual |
| Full Name | PHYLLIS GATESKILL STARKS |
| Credential | LCSW |
| Practice Address |
5455 W 86th St Ste 100 Indianapolis IN 46268-1504 |
| Practice Telephone | 3179882748 |
| Practice Fax Number | 3179882884 |
| Mailing Telephone | 3179882748 |
| Mailing Fax Number | 3179882884 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34000936A | IN | Behavioral Health & Social Service Providers |
| Street Address |
5455 W 86TH ST STE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46268-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073050258 | Compassionate Home Healthcare, Inc. | Home Health | 5455 W 86th St, Suite 108, Indianapolis, IN 46268-1536 | 2017-01-25 |
| 1578923405 | Deidra Storey LLC | Counselor | 5455 W 86th St, Suite 113, Indianapolis, IN 46268-1536 | 2016-03-04 |
| 1427448729 | Magnificat Family Medicine, LLC | Family Medicine | 5455 W 86th St, Suite #210, Indianapolis, IN 46268-1536 | 2015-01-26 |
| 1750795878 | Colleen M Caito | Counselor | 5455 W 86th St, Suite 102, Indianapolis, IN 46268-1536 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083116552 | Advantage Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 7710 Moller Rd, Indianapolis, IN 46268 | 2018-03-01 |
| 1285132324 | Seth Cochrill | Orthotist | 3445 W. 96th St., Indianapolis, IN 46268 | 2018-01-23 |
| 1902323371 | Erica Outlaw | Behavioral Analyst | 7732 Bancaster Drive, Indianapolis, IN 46268 | 2017-08-27 |
| 1649518135 | Phlebotomy Connection, LLC | Clinical Medical Laboratory | 3806 West 86th St, Suite B, Indianapolis, IN 46268 | 2013-01-18 |
| 1124377924 | Planned Parenthood of Indiana Georgetown | Clinic/Center | 8590 Georgetown Rd., Indianapolis, IN 46268 | 2012-09-07 |
| 1255621561 | National Mentor Healthcare, LLC | Custodial Care Facility | 2815 Spring Meadow Ct, Indianapolis, IN 46268 | 2011-04-08 |
| 1306009485 | Augusta Dental Office, P.C. | Dentist | 7141 N. Michigan Rd, Indianapolis, IN 46268 | 2008-07-08 |
| 1326242058 | Cletis R Foster | Dentist | 3810 W 86th Street, Indpls, IN 46268 | 2007-06-14 |
| 1871717041 | Home Health Care Services LLC | Home Health | 5455 West 86th Street, Ste 200, Indianapolis, IN 46268 | 2007-04-12 |
| 1699895995 | Preferred Dental Care, PC | Dentist | 8280 North Michigan Rd, Suite A, Indianapolis, IN 46268 | 2007-03-30 |
| Find all providers in zip 46268 | ||||
| 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 | 46268 |
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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.