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

Phoenix Associates Inc

Organization Clinical Social Worker · NPI 1407917966

Phoenix Associates Inc is a Clinical Social Worker in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2200 Lake Ave Ste 260
Fort Wayne, IN 46805-5397
Phone: (260) 424-0411
Fax: (260) 424-3530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34000785A (IN)

Record details

NPI number1407917966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Blanks — President · (260) 424-0411
NPI enumeratedDecember 12, 2006
Last updated in NPPESApril 2, 2022
Certification dateApril 2, 2022
Mailing address2200 Lake Ave, Suite 260, Fort Wayne, IN 46805-5397

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