MELISSA COLLINGSWORTH MSW LCSW NPI 1588061592

NPI Information

NPI: 1588061592
Provider Name: MELISSA COLLINGSWORTH, MSW, LCSW
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
909 E STATE BLVD
FORT WAYNE, IN
ZIP 46805
Phone: (260) 481-2700
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Melissa Collingsworth, MSW, LCSW is a counselor in Fort Wayne, IN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Melissa Collingsworth, MSW, LCSW NPI is 1588061592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

909 E STATE BLVD
FORT WAYNE, IN
ZIP 46805-404
Phone: (260) 481-2700
Fax: (260) 481-2709

The enumeration date for this NPI number is 11/20/2014 and was last updated on 9/13/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		33007721A	INDIANA	No
2	1041C0700X	Social Worker	Clinical	34009112A	INDIANA	No
3	101Y00000X	Counselor				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34009112A	OTHER	INDIANA	INDIANA BEHAVIORAL HEALTH BOARD

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: 11/14/2023

NPI Synchronization or Removal

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