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

Maisie Ross

Individual provider Clinical Social Worker · NPI 1811793615

Maisie Ross is a Clinical Social Worker in Fort Wayne, Indiana. Qualified in 2022, 4 years ago. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2025

Practice location Address checks out

909 E State Blvd
Fort Wayne, IN 46805-3404
Phone: (260) 481-2700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34011562A (IN)

Record details

NPI number1811793615
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedFebruary 21, 2025
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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