Unknown Individual – Clinical Social Worker, NPI 1124021662

Unknown Individual is a healthcare provider. based in Fort wayne, Indiana. specializing in Clinical Social Worker. They hold a License No. 34004553A (IN). The NPI Number for Unknown Individual is 1124021662

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124021662
Phone
(260) 432-5181
Address
2410 N GLENDALE DR STE A
Deactivation Date
19 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • North Glendale Drive, Westmoor, Fort Wayne, Allen County, Indiana, 46804, United States

    FORT WAYNE, IN 468048909

    Phone: (260) 432-5181

    Fax: (260) 432-5692

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 46804)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1124021662.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Clinical Social Worker for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Fort Wayne, Indiana for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

Unknown Individual

Clinical Social Worker
North Glendale Drive, Westmoor, Fort Wayne, Allen County, Indiana, 46804, United States
NPI: 1588667026

MR. DANIEL S BISHTON (MSW)

Clinical Social Worker
3506, Sun Valley Drive, Country Club Gardens, Fort Wayne, Allen County, Indiana, 46804, United States
NPI: 1497758932

SIMON JAMES DUNN (LCSW)

Clinical Social Worker
2121, Lake Avenue, Fort Wayne, Allen County, Indiana, 46805, United States
NPI: 1962408831

GISELA FEIL (LCSW)

Social Worker
2100, Goshen Road, Fort Wayne, Allen County, Indiana, 46808, United States
NPI: 1487650370

Turnstone

Physical Therapist
3320, North Clinton Street, Fort Wayne, Allen County, Indiana, 46805, United States
NPI: 1437158722
2422, Preston Drive, Fort Wayne, Allen County, Indiana, 46815, United States
NPI: 1730188798
850, North Harrison Street, Warsaw, Kosciusko County, Indiana, 46580, United States
NPI: 1770583718
4214, Hobson Court, Fort Wayne, Allen County, Indiana, 46815, United States
NPI: 1811982184
4214, Hobson Court, Fort Wayne, Allen County, Indiana, 46815, United States
NPI: 1033104302