Active NPI
Megan W. Spinks, LCSW
- Clinical Social Worker
- Fort Wayne, IN
National Provider Identifier
1912913336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34004069A
- Practice address
- 6530 Constitution Dr
Fort Wayne, IN 46804-1550 - Phone
- (260) 459-0990
- Fax
- (260) 459-0852
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34004069A | IN | Primary |
Addresses
Primary practice location
6530 Constitution Dr
Fort Wayne, IN 46804-1550
Mailing address
6530 Constitution Dr
Fort Wayne, IN 46804-1550
Phone (260) 459-0990
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000325002 | Other | IN | ANTHEM PIN |
| 476925000 | Other | IN | MAGELLAN |
| 4344040 | Other | IN | CIGNA |
| 360007 | Other | IN | MHN |
| 7170222 | Other | IN | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34004069A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Megan W. Spinks, LCSW, Acsw, Inc. | Clinical | Current | Accepting new patients |
| Parkview Hospital, Inc. | Past | Accepting new patients |
Locations
6408 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 433-1967
Organizations & group practices 2
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.
-
- Trauma Surgery Physician
- Fort Wayne, IN
- NPI 1669576997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912913336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6530 CONSTITUTION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041550",
"telephone_number": "260-459-0990",
"fax_number": "260-459-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6530 CONSTITUTION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041550",
"telephone_number": "260-459-0990",
"fax_number": "260-459-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINKS",
"first_name": "MEGAN",
"middle_name": "W.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34004069A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000325002",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "476925000",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4344040",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "360007",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7170222",
"state": "IN"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.