MS. NICAELI GRACE THEOBALD LCSW
NPI 1730810342
Social Worker - Clinical in Indianapolis, IN

Q: What is Nicaeli Theobald's NPI number?

The NPI number for Nicaeli Theobald is 1730810342. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Q: What is Nicaeli Theobald's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicaeli Theobald was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 23, 2022PECOS Enrolled

5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241(888) 714-1927 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Nicaeli Grace Theobald Lcsw NPPES

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

MS. NICAELI GRACE THEOBALD LCSW (NPI 1730810342) is an individual clinical provider in Indianapolis, Indiana and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730810342

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. NICAELI GRACE THEOBALDCredential: LCSW

Location Address5638 PROFESSIONAL CIRIndianapolis, IN 46241-5042

Mailing Address5241 W 15th StIndianapolis, IN 46224-6415 · (317) 987-4018

Phone(888) 714-1927

Sole ProprietorYes

Enumeration DateJune 23, 2022

Last NPPES UpdateMarch 24, 2025

NPPES CertifiedMarch 24, 2025

✔ NPI 1730810342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

5638 PROFESSIONAL CIR, Indianapolis, IN 46241

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Ms. Nicaeli Grace Theobald Lcsw 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 46241 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.

MARLENE J VILLECCO MS, LCAC

Counselor (Addiction (Substance Use Disorder))