Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Rose LCSW, LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1083399869

Mary Rose LCSW, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Wayne, Indiana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1732 S Hadley Rd
Fort Wayne, IN 46804-1458
Phone: (260) 438-4905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1083399869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Draper — Owner · (260) 438-4905
NPI enumeratedJune 19, 2023
Last updated in NPPESMay 5, 2024
Certification dateMay 5, 2024
Mailing address1732 S Hadley Rd, Fort Wayne, IN 46804-1458

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