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LUTHERAN SOCIAL SERVICES INCORPORATED NPI 1861636136


NPI Information

NPI: 1861636136
Provider Name: LUTHERAN SOCIAL SERVICES, INCORPORATED

Doing Business As: LUTHERAN SOCIAL SERVICES OF INDIAN

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
330 MADISON ST
FORT WAYNE, IN
ZIP 46802
Phone: (260) 426-3347
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LUTHERAN SOCIAL SERVICES, INCORPORATED 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. LUTHERAN SOCIAL SERVICES, INCORPORATED NPI is 1861636136. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lutheran Social Services Of Indian.

The provider's business location address is:

330 MADISON ST
FORT WAYNE, IN
ZIP 46802-126
Phone: (260) 426-3347
Fax: (260) 424-2248

The provider's authorized official is Gloria D Whitcraft .
The authorized official title is Clinical Services Director and has the following contact phone number (260) 426-3347.

The enumeration date for this NPI number is 4/29/2009 and was last updated on 4/29/2009.


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
1101Y00000XCounselorYes

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
1200072230MEDICAIDINDIANA

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

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