Path Forward Therapy

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

PATH FORWARD THERAPY

Practice address

6359 Constitution Dr
Fort Wayne, IN 46804-1547

Phone

(419) 890-5500

Fax

(260) 235-3829

NPI assigned

Oct 15, 2025

Organization subpart

No

Name

Ms. Taylor R Niese, LSWNPI 1730685512

Title

Owner

Phone

(419) 890-5500

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor Niese, LSW

  • Social Worker
  • Fort Wayne, IN
  • NPI 1730685512
  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2025.

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1114893229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6359 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041547",
            "telephone_number": "419-890-5500",
            "fax_number": "260-235-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6359 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041547",
            "telephone_number": "419-890-5500",
            "fax_number": "260-235-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH FORWARD THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "NIESE",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-890-5500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shrey Y Patel, OD
• Ujwal Vinubhai Patel
• Vaishali A Patel
• Mystery Dawn Patell
• Andrea Patete, DO
• Lakshmi Devi Pathai, M.D
• Pathlink Care Solutions
• Pathology & Forensic Consultants LLC
• Pathway ABA LLC
• Smitha Patibandla, MD

• All providers in Fort Wayne, IN
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.