Active NPI
Lucille Marie Isaacs, LCSW LMFT
- Marriage & Family Therapist
- Fort Wayne, IN
National Provider Identifier
1114935137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35000290A
- Practice address
- 310 E Dupont Rd
Suite 2
Fort Wayne, IN 46825-2048 - Phone
- (260) 490-8110
- Fax
- (260) 490-7707
- NPI assigned
- Aug 4, 2006
- 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 | 34002916A | IN | |
| Marriage & Family Therapist | 106H00000X | 35000290A | IN | Primary |
Addresses
Primary practice location
310 E Dupont Rd
Suite 2
Fort Wayne, IN 46825-2048
Mailing address
310 E Dupont Rd
Suite 2
Fort Wayne, IN 46825-2048
Phone (260) 490-8110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20030080 | Medicaid | IN |
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 |
|---|---|---|---|
| 34002916A | IN | MD | Clinical Social Worker |
| 35000290A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herbert P. Trier, M.D. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1114935137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E DUPONT RD",
"address_2": "SUITE 2",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468252048",
"telephone_number": "260-490-8110",
"fax_number": "260-490-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E DUPONT RD",
"address_2": "SUITE 2",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468252048",
"telephone_number": "260-490-8110",
"fax_number": "260-490-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "LUCILLE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34002916A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35000290A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20030080",
"state": "IN"
}
],
"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 Sep 11, 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.