Individual provider Active NPI

Janet Marie Naish, LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
National Provider Identifier
1629204524
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004025A Issued in IN
Practice address
2101 Curdes Ave
Fort Wayne, IN 46805-2713
Phone
(260) 403-3961
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34004025A IN Primary

Addresses

Primary practice location

2101 Curdes Ave
Fort Wayne, IN 46805-2713

Mailing address

615 W Foster Pkwy
Fort Wayne, IN 46807-2205
Phone (260) 403-3961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190424001683 IN Practitioner - Clinical Social Worker 8123360005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6610 Constitution Dr
Fort Wayne, IN 46804-1575
Phone (260) 403-3961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34004025AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Janet Naish Counseling Services LLC Clinical CurrentSince Mar 25, 2019 Accepting new patients
Family Services Past Accepting new patients

Locations

615 W Foster Pkwy
Fort Wayne, IN 46807
Phone (260) 402-1824

6610 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 403-3961

Organizations & group practices 2

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1629204524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W FOSTER PKWY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468072205",
            "telephone_number": "260-403-3961",
            "fax_number": "260-744-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CURDES AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468052713",
            "telephone_number": "260-403-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAISH",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004025A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.