BETHANY S. KELLOGG (MSW, LCSW) – Clinical Social Worker, NPI 1295245835

BETHANY S. KELLOGG (MSW, LCSW) is a healthcare provider. based in Fort wayne, Indiana. specializing in Clinical Social Worker. They hold the professional credentials MSW, LCSW. The NPI Number for BETHANY S. KELLOGG (MSW, LCSW) is 1295245835

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY S. KELLOGG (MSW, LCSW)
NPI
1295245835
Phone
(574) 936-9646
Address
2100 GOSHEN RD
Enumeration Date
10 October 2017
Last Update Date
25 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604713500
Graduation Year
2017 (9 years ago)
PAC ID
8123442993
Group Practice PAC ID
7618950965
Professional Enrollment ID
I20200727001809
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for BETHANY S. KELLOGG (MSW, LCSW)

  • 2100, Goshen Road, Fort Wayne, Allen County, Indiana, 46808, United States

    FORT WAYNE, IN 468081493

    Phone: (574) 936-9646

    Fax: (574) 936-9646

    Type: Location

  • 2621, East Jefferson Street, Warsaw, Kosciusko County, Indiana, 46580, United States

    WARSAW, IN 465803880

    Phone: (574) 267-7169

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46808)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618950965View full group profile

Reviews

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Frequently asked questions

What number should I use to identify BETHANY S. KELLOGG (MSW, LCSW) for billing?
Administrative and clinical systems typically use NPI 1295245835 for BETHANY S. KELLOGG (MSW, LCSW).
Is BETHANY S. KELLOGG (MSW, LCSW)'s NPI status active today?
Active status means BETHANY S. KELLOGG (MSW, LCSW)'s NPI record is not deactivated in the public file.
Which specialty label fits BETHANY S. KELLOGG (MSW, LCSW)?
NPPES ties BETHANY S. KELLOGG (MSW, LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is BETHANY S. KELLOGG (MSW, LCSW) tied to Fort Wayne, Indiana?
If you are local to Fort Wayne, Indiana, BETHANY S. KELLOGG (MSW, LCSW) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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