Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Agnes Cecilia Osterholt-Polston, MSW, LCSWS

Individual provider Clinical Social Worker · NPI 1255346011

Agnes Cecilia Osterholt-Polston, MSW, LCSWS is a Clinical Social Worker in Fort Wayne, Indiana. Qualified in 1988, 38 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
38
Licensed in
IN
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

4235 Flagstaff Cv
Fort Wayne, IN 46815
Phone: (260) 969-6600
Fax: (260) 969-6601
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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 34002679A (IN)

Record details

NPI number1255346011
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSWS
Sole proprietorYes
NPI enumeratedJuly 30, 2006
Last updated in NPPESJuly 31, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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