Organization Active NPI

Pure Intention Services, LLC

  • Clinical Social Worker
  • Fort Wayne, IN
National Provider Identifier
1790506202
Registry record updated Oct 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PURE INTENTION SERVICES, LLC
Practice address
6136 Constitution Dr
Fort Wayne, IN 46804-1526
Phone
(260) 833-7474
NPI assigned
Oct 18, 2024
Last updated
Oct 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2026

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

Authorized official

Name
Erica Woodward, LCSWNPI 1902304215
Title
Founder
Phone
(260) 833-7474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6136 Constitution Dr
Fort Wayne, IN 46804-1526

Mailing address

6136 Constitution Dr
Fort Wayne, IN 46804-1526
Phone (260) 833-7474

National Provider Directory

National Provider Directory

Locations

6208 Constitution Dr
Ste A1
Fort Wayne, IN 46804
Phone (260) 699-7275

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792886400000",
    "number": "1790506202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041526",
            "telephone_number": "260-833-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041526",
            "telephone_number": "260-833-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE INTENTION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2026-10-25",
        "certification_date": "2026-10-25",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "260-833-7474",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 25, 2026; 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.