Provider Type Icon

CATHOLIC CHARITIES OF THE DIOCESE OF FORT WAYNE-SOUTH BEND INC. NPI 1811047608


NPI Information

NPI: 1811047608
Provider Name: CATHOLIC CHARITIES OF THE DIOCESE OF FORT WAYNE-SOUTH BEND, INC.

Doing Business As: CATHOLIC CHARITIES

Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
915 SOUTH CLINTON
FORT WAYNE, IN
ZIP 46802
Phone: (260) 422-5625
Get Directions

CATHOLIC CHARITIES OF THE DIOCESE OF FORT WAYNE-SOUTH BEND, INC. is a social worker in Fort Wayne, IN. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. CATHOLIC CHARITIES OF THE DIOCESE OF FORT WAYNE-SOUTH BEND, INC. NPI is 1811047608. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Catholic Charities.

The provider's business location address is:

915 SOUTH CLINTON
FORT WAYNE, IN
ZIP 46802
Phone: (260) 422-5625
Fax: (260) 422-5657

The provider's authorized official is Gloria Whitcraft .
The authorized official title is Chief Executive Officer and has the following contact phone number (260) 422-5625.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 1/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3104100000XSocial WorkerYes
41041C0700XSocial WorkerClinicalNo
5106H00000XMarriage & Family TherapistNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200100590MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.