Active NPI
Jessica Gerardot, LCSW, LCAC
- Social Worker
- Fort Wayne, IN
National Provider Identifier
1003093980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3810 Coldwater Rd
Fort Wayne, IN 46805-1102 - Phone
- (260) 460-1456
- NPI assigned
- Jan 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3810 Coldwater Rd
Fort Wayne, IN 46805-1102
Mailing address
3810 Coldwater Rd
Fort Wayne, IN 46805-1102
Phone (260) 460-1456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1003093980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 COLDWATER RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468051102",
"telephone_number": "260-460-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 COLDWATER RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468051102",
"telephone_number": "260-460-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERARDOT",
"first_name": "JESSICA",
"credential": "LCSW, LCAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.