Individual provider Active NPI

Caroline Joanna Langin, LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
National Provider Identifier
1730936923
Registry record updated May 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010083A Issued in IN
Practice address
4211 Tamarack Dr
Fort Wayne, IN 46835-3443
Phone
(260) 908-3906
NPI assigned
May 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2024

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 34010083A IN Primary

Addresses

Primary practice location

4211 Tamarack Dr
Fort Wayne, IN 46835-3443

Mailing address

4211 Tamarack Dr
Fort Wayne, IN 46835-3443
Phone (260) 908-3906

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
I20250927000000 IN Practitioner - Clinical Social Worker 4183129208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RDR Devine LLCGroup PAC ID 9931515889, 11 clinicians

Practice addresses (Care Compare)

6157 Stoney Creek Dr
Fort Wayne, IN 46825-4409
Phone (260) 570-4518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34010083AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
RDR Devine, LLC Clinical CurrentSince Aug 28, 2025 Accepting new patients

Locations

6157 Stoney Creek Dr
Fort Wayne, IN 46825
Phone (260) 570-4515

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": "1714780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714780800000",
    "number": "1730936923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 TAMARACK DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353443",
            "telephone_number": "260-908-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 TAMARACK DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468353443",
            "telephone_number": "260-908-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGIN",
        "first_name": "CAROLINE",
        "middle_name": "JOANNA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010083A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.