INDIANA RE-ENTRY INTEGRATED SERVICES
NPI 1164137659
Social Worker in Indianapolis, IN

Active since January 18, 2023
3301 BROUSE AVE, INDIANAPOLIS, IN 46218(317) 263-6573 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Social Worker

About INDIANA RE-ENTRY INTEGRATED SERVICES

This page provides the complete NPI Profile along with additional information for Indiana Re-entry Integrated Services, a provider established in Indianapolis, Indiana operating as a Social Worker. The healthcare provider is registered in the NPI registry with number 1164137659 assigned on January 2023. The practitioner's primary taxonomy code is 104100000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michael Dwayne James Lcac (Ceo)

NPI
1164137659 Verify this NPI
Provider Name
INDIANA RE-ENTRY INTEGRATED SERVICES
Entity Type
Organization
Location Address
3301 BROUSE AVE INDIANAPOLIS, IN 46218
Location Phone
(317) 263-6573
Mailing Address
3301 BROUSE AVE INDIANAPOLIS, IN 46218
Mailing Phone
(317) 263-6573
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2023
Last Update Date
01-18-2023
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A social worker like Indiana Re-entry Integrated Services helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL DWAYNE JAMES LCAC

Authorized Official Title
CEO
Authorized Official Phone
(317) 263-6573

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164137659, enumerated as an "organization" on January 18, 2023.

The provider is located at 3301 BROUSE AVE INDIANAPOLIS, IN 46218 and the phone number is (317) 263-6573.

Social Worker with taxonomy code 104100000X.