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

Beth Ann Koenemann, LCSW

Individual provider Clinical Social Worker · NPI 1912760653

Beth Ann Koenemann, LCSW is a Clinical Social Worker in Fort Wayne, Indiana. Qualified in 2014, 12 years ago. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2024
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

2712 S Calhoun St
Fort Wayne, IN 46807-1402
Phone: (260) 744-4326
Fax: (260) 744-0188
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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 34010829A (IN)

Record details

NPI number1912760653
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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