Active NPI
Pure Intention Services, LLC
- Clinical Social Worker
- Fort Wayne, IN
National Provider Identifier
1790506202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Woodward, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Fort Wayne, IN
- NPI 1902304215
-
- Social Worker
- Fort Wayne, IN
- NPI 1306549878
-
- Social Worker
- Fort Wayne, IN
- NPI 1811616055
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
- ,Birute L Pumputis, MD
- Purdue University (IPFW Dental Hygiene Clinic)
- Purdue University (IPFW Center for Healthy Living: Campus Clinic and Wellness Programs)
- Purdue University (Lafayette Street Dental Clinic)
- Purdue University (IPFW Center for Health Living: Campus Clinic and Wellnes Program)
- Pure Mind, LLC
- Pursuit Fort Wayne LLC
- Barbara Jean Purvis, NP
- Daniel E Purvis Jr., RPH
- John Phillip Purvis
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.