Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Path Forward Therapy

Organization Social Worker · NPI 1114893229

Path Forward Therapy provides Social Worker services in Fort Wayne, Indiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

6359 Constitution Dr
Fort Wayne, IN 46804-1547
Phone: (419) 890-5500
Fax: (260) 235-3829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1114893229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taylor Niese — Owner · (419) 890-5500
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address6359 Constitution Dr, Fort Wayne, IN 46804-1547

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