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

Mr. Thaddeus James Bay, LCSW

Individual provider Clinical Social Worker · NPI 1154933216

Mr. Thaddeus James Bay, LCSW is a Clinical Social Worker in Fort Wayne, Indiana. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2020
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

10331 Dawsons Creek Blvd Ste D
Fort Wayne, IN 46825-1908
Phone: (260) 525-5807
Fax: (260) 217-0864
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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 34008897A (IN)

Record details

NPI number1154933216
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 20, 2020
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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