Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jordan Dora Berty, LCSW

Individual provider Clinical Social Worker · NPI 1407480007

Mrs. Jordan Dora Berty, LCSW is a Clinical Social Worker in Indianapolis, Indiana. Qualified in 2017, 9 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

6100 N Keystone Ave Ste 420
Indianapolis, IN 46220-2892
Phone: (317) 296-4914
Fax: (317) 713-0177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10122 E 10th St Ste 100, Indianapolis, IN 46229-2697 — (317) 355-5715

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34008763A (IN)

Record details

NPI number1407480007
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 24, 2020
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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