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

Individual provider Clinical Social Worker · NPI 1942571369

Mr. Edward D Dobson, LCSW is a Clinical Social Worker in Fort Wayne, Indiana. Qualified in 2007, 19 years ago. Practices with Northeastern Center Inc, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
19
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

2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (800) 360-8387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 340 Columbia St Ste 100, South Bend, IN 46601-2339 — (800) 360-8387

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34006397A (IN)

Record details

NPI number1942571369
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 17, 2012
Last updated in NPPESJanuary 22, 2022
Certification dateJanuary 22, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Northeastern Center Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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