Active NPI
Ronda J. Salge, LCSW
- Clinical Social Worker
- Fort Wayne, IN
National Provider Identifier
1104149749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006489A
- Practice address
- 1910 Saint Joe Center Rd
Suite 44
Fort Wayne, IN 46825-5000 - Phone
- (260) 471-8033
- Fax
- (260) 471-8107
- NPI assigned
- Mar 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34006489A | IN | Primary |
| Music Therapist | 225A00000X |
Addresses
Primary practice location
1910 Saint Joe Center Rd
Suite 44
Fort Wayne, IN 46825-5000
Mailing address
PO Box 8834
Fort Wayne, IN 46898-8834
Phone (260) 471-8033
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12308807 | Other | IN | CAQH |
| 201224210A | Medicaid | IN | |
| IN1885001 | Other | IN | MEDICARE CMS |
Other names 1
- Ronda J. Salge
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34006489A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1104149749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8834",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468988834",
"telephone_number": "260-471-8033",
"fax_number": "260-471-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 SAINT JOE CENTER RD",
"address_2": "SUITE 44",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468255000",
"telephone_number": "260-471-8033",
"fax_number": "260-471-8107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALGE",
"first_name": "RONDA",
"middle_name": "J.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-10",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006489A",
"primary": true
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12308807",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201224210A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE CMS",
"identifier": "IN1885001",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RONDA",
"last_name": "SALGE",
"middle_name": "J.",
"credential": "RMT",
"code": "2",
"type": "Professional Name"
}
]
}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 Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.