Misty Dawn Dutton · Misty Dawn Rudig · Clinical Social Worker

200 Medical Dr Ste D, Carmel, IN 46032-2985

Overview

Misty Dawn Dutton is a Clinical Social Worker practicing in Carmel, Indiana. The National Provider Identifier (NPI) is #1912199977, which was assigned on August 14, 2007, and the registration record was last updated on October 6, 2025. The practitioner's main practice location is at 200 Medical Dr Ste D, Carmel, IN 46032-2985; the contact telephone number is 3176743160, and the fax number is 3176632951. The primary taxonomy of Misty Dawn Dutton is Clinical Social Worker (1041C0700X), with specialization in Clinical. Misty Dawn Dutton is licensed to practice in the state of Indiana (#33005335A), Indiana (#34006480A).

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.

Provider Information

NPI 1912199977
Entity Type Individual
Provider Name MISTY DAWN DUTTON
Other Name MISTY DAWN RUDIG
(Former Name)
Gender Female
Credential LCSW
Other Credential LCSW
Practice Address 200 Medical Dr Ste D
Carmel
IN 46032-2985
Practice Telephone 3176743160
Practice Fax Number 3176632951
Mailing Address 9150 W Swimming Hole Ln
Pendleton
IN 46064-8658
Mailing Telephone 7654258549
Certification Date 2025-10-06
Enumeration Date 2007-08-14
Last Update Date 2025-10-06
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 7113189481
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name MISTY D DUTTON
Primary Specialty CLINICAL SOCIAL WORKER
Organization Legal Name COMMUNITY HEALTH NETWORK INC
Address 1525 N Ritter Ave
Gallahue Mental Health Servi
Indianapolis
IN 46219-3026

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N104100000XSocial Worker33005335AIN
Y1041C0700XSocial WorkerClinical34006480AIN

Secondary Practice Locations

AddressTelephoneFax
2401 W. University Avenue, Third Floor, Muncie, IN 47304398876528819287657410335

Taxonomy Information

Primary Taxonomy

Code 1041C0700X
Taxonomy Clinical Social Worker
Classification Social Worker
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Other Taxonomy

Code 104100000X
Taxonomy Social Worker
Classification Social Worker
Grouping Behavioral Health & Social Service Providers
Definition: 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.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

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Location Information

Street Address 200 MEDICAL DR STE D
City CARMEL
State IN
Zip Code 46032-2985
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Lidia Ayad 200 Medical Dr Ste D, Carmel, IN 46032-2985Social Worker2023-05-03
Kyle William Shore 200 Medical Dr Ste D, Carmel, IN 46032-2985Mental Health Counselor2023-04-12
Margo S Hart 200 Medical Dr Ste D, Carmel, IN 46032-2985Mental Health Counselor2007-04-19
Dawn Wilson 200 Medical Dr Ste D, Carmel, IN 46032-2985Mental Health Counselor2026-05-23
Susan Elizabeth Conner 200 Medical Dr Ste D, Carmel, IN 46032-2985Mental Health Counselor2026-05-21
Suzanne R Newman 200 Medical Dr Ste D, Carmel, IN 46032-2985Mental Health Counselor2023-07-27

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Andrew Bloom 200 Medical Dr Ste A, Carmel, IN 46032-2985Student in an Organized Health Care Education/Training Program2017-05-04
Eric Wiedemann 200 Medical Dr Ste A, Carmel, IN 46032-2985General Practice Dentistry2021-06-14
Donna J Ganote 200 Medical Drive, #C2b, Carmel, IN 46032-2985Clinical Social Worker2007-03-15

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Joel Whittle 10767 Illinios St, Suite 3000 B, Carmel, IN 46032Sports Physical Therapist2024-06-10
Gordon Hanson Lifespan Therapy Carmel Health and Living Community, 118 Medical Drive, Carmel, IN 46032Physical Therapy Assistant2021-09-08
Mallory Lee 18 Medical Dr, Carmel, IN 46032Occupational Therapist2024-07-17
Molly Sanders 13950b N Meridian St # 202, Carmel, IN 46032Student in an Organized Health Care Education/Training Program2019-04-21
Franciscan Health Indianapolis & Mooresville 10777 Illinois Street, Carmel, IN 46032Special Hospital2021-09-23
Hiroto Yagasaki 12820 Apt2d, University Crescent, Carmel, IN 46032Research Study Specialist2025-01-24
Franciscan Orthopedic Surgery Center LLC 10777 N. Illinois St., Suite H3000 and Suite H4000, Carmel, IN 46032Ambulatory Surgical Clinic/Center2021-07-30
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.