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

Phoenix Social Work Center, Inc

Organization Counselor · NPI 1518700772

Phoenix Social Work Center, Inc is a Counselor in Fort Wayne, Indiana. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
7
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 240
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

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1518700772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Blanks — Executive Director · (260) 424-0411
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 16, 2024
Mailing address2200 Lake Ave Ste 240, Fort Wayne, IN 46805-5397

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