Individual provider Active NPI

Sherrie A Handshoe

  • Clinical Social Worker
  • Fort Wayne, IN
National Provider Identifier
1902778087
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006549A Issued in IN
Practice address
10319 Dawsons Creek Blvd Ste J
Fort Wayne, IN 46825-1911
Phone
(260) 927-3183
Fax
(260) 818-2081
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 34006549A IN Primary

Addresses

Primary practice location

10319 Dawsons Creek Blvd Ste J
Fort Wayne, IN 46825-1911

Mailing address

10319 Dawsons Creek Blvd Ste J
Fort Wayne, IN 46825-1911
Phone (260) 927-3183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34006549AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Xcepted Corp CurrentSince Sep 21, 2025 Accepting new patients

Locations

10319 Dawsons Creek Blvd
Ste J
Fort Wayne, IN 46825
Phone (260) 927-3183

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": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1902778087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 DAWSONS CREEK BLVD STE J",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251911",
            "telephone_number": "260-927-3183",
            "fax_number": "260-818-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10319 DAWSONS CREEK BLVD STE J",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251911",
            "telephone_number": "260-927-3183",
            "fax_number": "260-818-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDSHOE",
        "first_name": "SHERRIE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006549A",
            "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 24, 2025; 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.