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

Individual provider Clinical Social Worker · NPI 1689940942

Kimberly D Farouki, LCSW is a Clinical Social Worker in Fort Wayne, Indiana. Works from 3 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2012
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

3512 Stellhorn Rd
Fort Wayne, IN 46815
Phone: (260) 483-9081
Fax: (260) 483-9196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5550 Sandstone Ave, Kokomo, IN 46901-8853 — (765) 459-3891
  • 5550 Sandstone Ave, Kokomo, IN 46901-8853 — (765) 459-3891

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34006395A (IN)

Record details

NPI number1689940942
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 30, 2012
Last updated in NPPESJanuary 22, 2019

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