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

Anna Kayleen Ennis, LCSW

Individual provider Clinical Social Worker · NPI 1285345579

Anna Kayleen Ennis, LCSW is a Clinical Social Worker in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2622 Lake Ave Ste 1
Fort Wayne, IN 46805-5410
Phone: (260) 299-3160
Fax: (260) 299-3159
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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 34012201A (IN)

Record details

NPI number1285345579
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 8, 2022
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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