Healthcare Provider Details

I. General information

NPI: 1972078012
Provider Name (Legal Business Name): MARKESE WINFIELD MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARKESE L WILLIS AS, BSW

II. Dates (important events)

Enumeration Date: 10/04/2018
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8116 ALYSSUM DR
PLAINFIELD IN
46168-4871
US

IV. Provider business mailing address

8116 ALYSSUM DR
PLAINFIELD IN
46168-4871
US

V. Phone/Fax

Practice location:
  • Phone: 317-643-8282
  • Fax:
Mailing address:
  • Phone: 317-643-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-16-12715
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateIN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierRBT-16-12715
Identifier TypeOTHER
Identifier StateIN
Identifier IssuerRBT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: