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

Rita Irene Polivick, MS, LCSW

Individual provider Mental Health Counselor · NPI 1437387537

Rita Irene Polivick, MS, LCSW is a Clinical Social Worker in Fort Wayne, Indiana. Qualified in 1978, 48 years ago. Practices with Brightside Health Inc, a 215-clinician group and accepts Medicare assignment. Licensed in Florida and Indiana.

Years since qualifying
48
Licensed in
FL, IN
In the registry since
2009
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3010 E State Blvd
Fort Wayne, IN 46805-4700
Phone: (260) 471-2300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 34003316A (IN)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH4219 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 34003316A (IN)

Record details

NPI number1437387537
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LCSW
Sole proprietorYes
NPI enumeratedJune 26, 2009
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Brightside Health Inc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Wayne