Individual provider Active NPI

Tabitha Frentz, LCSW

  • Clinical Social Worker
  • Auburn, IN
National Provider Identifier
1700642659
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010972A Issued in IN
Practice address
1209 Ashwood Dr
Auburn, IN 46706-3281
Phone
(260) 908-4145
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 34010972A IN Primary

Addresses

Primary practice location

1209 Ashwood Dr
Auburn, IN 46706-3281

Mailing address

1209 Ashwood Dr
Auburn, IN 46706-3281

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
I20240312000631 IN Practitioner - Clinical Social Worker 8325484405 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34010972AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Park Center Inc CurrentSince Mar 1, 2024 Accepting new patients
Park Center Inc CurrentSince Mar 1, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 4, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

909 E State Blvd
Fort Wayne, IN 46805
Phone (260) 481-2718

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

Organizations & group practices 3

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": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1700642659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 ASHWOOD DR",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467063281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 ASHWOOD DR",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467063281",
            "telephone_number": "260-908-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENTZ",
        "first_name": "TABITHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010972A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

Verify at the official NPI Registry.