Ellen Hardin Kazlas · Clinical Social Worker

645 S Rogers St, Bloomington, IN 47403

Overview

Ellen Hardin Kazlas is a Clinical Social Worker practicing in Bloomington, Indiana. The National Provider Identifier (NPI) is #1992024616, which was assigned on May 20, 2010, and the registration record was last updated on February 12, 2025. The practitioner's main practice location is at 645 S Rogers St, Bloomington, IN 47403; the contact telephone number is 8123391691. The primary taxonomy of Ellen Hardin Kazlas is Clinical Social Worker (1041C0700X), with specialization in Clinical. Ellen Hardin Kazlas is licensed to practice in the state of Indiana (#34006908A).

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 1992024616
Entity Type Individual
Provider Name MRS. ELLEN HARDIN KAZLAS
Gender Female
Credential M.S.W.
Practice Address 645 S Rogers St
Bloomington
IN 47403
Practice Telephone 8123391691
Mailing Address 645 S Rogers St
Bloomington
IN 47403-2353
Mailing Telephone 1233916918
Certification Date 2025-02-12
Enumeration Date 2010-05-20
Last Update Date 2025-02-12
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 6608171319
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name ELLEN KAZLAS
Primary Specialty CLINICAL SOCIAL WORKER
Organization Legal Name CENTERSTONE OF INDIANA INC
Address 645 S Rogers St
Bloomington
IN 47403-2353

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y1041C0700XSocial WorkerClinical34006908AIN

Secondary Practice Locations

AddressTelephoneFax
1501 State St, LA Porte, IN 4635031156302515074

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]

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Location Information

Street Address 645 S ROGERS ST
City BLOOMINGTON
State IN
Zip Code 47403
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Kyle Mclain 645 S Rogers St, Bloomington, IN 47403-2353Mental Health Counselor2016-11-09
Kelley Ellen Stafford Salvo 645 S Rogers St, Bloomington, IN 47403-2353Clinical Social Worker2021-04-26
Carmen J Levasseur 645 S Rogers St, Bloomington, IN 47403-2353Clinical Social Worker2012-08-15
Nicole Wiscombe 645 S Rogers St, Bloomington, IN 47403-2353Counselor2007-02-28
Paul Elliott 645 S Rogers St, Bloomington, IN 47403-2353Psychiatric/Mental Health Nurse Practitioner2025-02-21
Scott A. Callaghan 645 S Rogers St, Bloomington, IN 47403Clinical Social Worker2005-07-18
Hana Gilliom 645 S Rogers St, Bloomington, IN 47403-2353Counselor2015-08-12
Kelly M Leach 645 S Rogers St, Bloomington, IN 47403-2353Social Worker2021-05-20
Deborah Boits 645 S Rogers St, Bloomington, IN 47403-2353Clinical Social Worker2024-07-26
Brenden James King 645 S Rogers St Ste C, Bloomington, IN 47403-2353Pharmacist2017-08-28
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Samantha Breann Jones 1312 W Arch Haven Ave Ste E, Bloomington, IN 47403-2088Physical Therapist2019-11-13
Jeremy Mescher 350 S Landmark Ave, Bloomington, IN 47403Pediatrics Physician2015-04-16
Jacob Edward Lundorf 2100 S Liberty Dr Ste B, Bloomington, IN 47403Nurse Practitioner2018-07-06
Indiana Center for Recovery, LLC 1004 W 1st Street, Bloomington, IN 47403Substance Use Disorder Rehabilitation Clinic/Center2017-03-13
Irving Radiology, Inc 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403Diagnostic Radiology Physician2023-07-28
Molly Kestler Perry 550 S Adams St, Bloomington, IN 47403-2165Mental Health Counselor2022-07-22
Duangnapa S. Cuddy 550 S Landmark Ave, Bloomington, IN 47403Surgery Physician2007-06-12
Grant Thomas Gilliam 550 S Adams St, Bloomington, IN 47403-2165Mental Health Counselor2018-11-27
Paragon Wellness Center, LLC 1332 W Arch Haven Ave, Suite C, Bloomington, IN 47403-2079Nurse Practitioner2007-10-26
Richard J Eisenhut 482 S Liberty Dr, Bloomington, IN 47403-1927Internal Medicine Physician2006-07-17
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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.