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

Beau Norris

Individual provider Social Worker · NPI 1134799174

Beau Norris is a Clinical Social Worker in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2021
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Practice location Address checks out

2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 33009691A (IN)

Record details

NPI number1134799174
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 1, 2021
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021
Mailing address2121 Lake Ave, Fort Wayne, IN 46805-5100

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)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Wayne