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

Path Forward Therapy

Organization Social Worker · NPI 1114893229

Path Forward Therapy is a Social Worker 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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