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

Katelyn Ann Thain

Individual provider Social Worker · NPI 1700502705

Katelyn Ann Thain is a Clinical Social Worker in Fort Wayne, Indiana. Qualified in 2021, 5 years ago. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2629 Deerwood Dr
Fort Wayne, IN 46825-3919
Phone: (260) 530-3240
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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 34011567A (IN)
Social Worker Taxonomy 104100000X · Licence 33010658A (IN)

Record details

NPI number1700502705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2022
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address2629 Deerwood Dr, Fort Wayne, IN 46825-3919

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Fort Wayne