DR. GARY NUNNALLY LCSW, DMIN
NPI 1205810090
Social Worker - Clinical in Indianapolis, IN

Active since December 05, 2005PECOS Enrolled
8202 CLEARVISTA PKWY, BLDG 7, INDIANAPOLIS, IN 46256(317) 288-9942(317) 288-9945 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 6, 2018, Jan 10, 2018 (2 updates tracked since 2018).

About Dr. Gary Nunnally Lcsw, Dmin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY NUNNALLY LCSW, DMIN (NPI 1205810090) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (34002418A) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205810090
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. GARY NUNNALLYCredential: LCSW, DMIN
Location Address8202 CLEARVISTA PKWY, BLDG 7Indianapolis, IN 46256-1400
Mailing Address8202 Clearvista Pkwy, Bldg 7Indianapolis, IN 46256-1400 · (317) 288-9942 · Fax (317) 288-9945
Fax(317) 288-9945
Sole ProprietorNo
Enumeration DateDecember 5, 2005
Last NPPES UpdateNovember 6, 20182 updates tracked since enumeration
NPI 1205810090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IN · 34002418A
Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 34002418A (IN)
8202 CLEARVISTA PKWY, Indianapolis, IN 46256

Other Identifiers 1

Medicaid100381890IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Gary Nunnally Lcsw, Dmin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
8202 CLEARVISTA PKWY, SUITE 9-C
INDIANAPOLIS, IN 46256
Allergy & Immunology
8202 CLEARVISTA PKWY, 4A
INDIANAPOLIS, IN 46256
Family Medicine
8202 CLEARVISTA PKWY, SUITE 6B
INDIANAPOLIS, IN 46256
Dentist (Oral and Maxillofacial Surgery)
8202 CLEARVISTA PKWY, BUILDING 5 SUITE B
INDIANAPOLIS, IN 46256
Dentist (General Practice)
8202 CLEARVISTA PKWY, BLDG 4 SUITE C
INDIANAPOLIS, IN 46256
Dentist (General Practice)
8202 CLEARVISTA PKWY, STE 10A
INDIANAPOLIS, IN 46256
Internal Medicine (Rheumatology)
8202 CLEARVISTA PKWY, SUITE 8B
INDIANAPOLIS, IN 46256
Hearing Instrument Specialist
8202 CLEARVISTA PKWY, STE. 3A
INDIANAPOLIS, IN 46256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205810090, enumerated as an "individual" on December 05, 2005.

The provider is located at 8202 CLEARVISTA PKWY BLDG 7 INDIANAPOLIS, IN 46256 and the phone number is (317) 288-9942.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: CareSource, Providence Health Plan,. Please consult your insurance carrier or call the provider to verify.