Individual provider Active NPI

Casey A Sitko, MSW, LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
National Provider Identifier
1992322812
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008865A Issued in IN
Practice address
3320 N Clinton St
Fort Wayne, IN 46805-1918
Phone
(260) 483-2100
NPI assigned
Jun 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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 34008865A IN Primary

Addresses

Primary practice location

3320 N Clinton St
Fort Wayne, IN 46805-1918

Mailing address

3320 N Clinton St
Fort Wayne, IN 46805-1918
Phone (260) 483-2100

Other identifiers 1

IdentifierTypeStateIssuer
34008865AMedicaidIN

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
I20240208002380 IN Practitioner - Clinical Social Worker 1951744739 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008865AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turnstone Center for Children and Adults With Disabilities, Inc. Clinical CurrentSince Mar 1, 2024 Accepting new patients

Locations

3320 N Clinton St
Fort Wayne, IN 46805
Phone (260) 483-2100

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": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1992322812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051918",
            "telephone_number": "260-483-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051918",
            "telephone_number": "260-483-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITKO",
        "first_name": "CASEY",
        "middle_name": "A",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008865A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34008865A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.