MARILLAC COUNSELING, LLC
NPI 1033783766
Social Worker - Clinical in Fort Wayne, IN

Q: What is Marillac Counseling, LLC's NPI number?

The NPI number for Marillac Counseling, LLC is 1033783766. It was assigned to this organization in the NPPES registry on May 17, 2021.

Q: What is Marillac Counseling, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 17, 2021

4630 W JEFFERSON BLVD STE 3, FORT WAYNE, IN 46804(260) 222-6367(260) 235-5328 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Marillac Counseling, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARILLAC COUNSELING, LLC (NPI 1033783766) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since May 2021. The organization lists Kathy Massonne, Owner, as its authorized official.

NPPES Registry Identity

NPI1033783766

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMARILLAC COUNSELING, LLC

Location Address4630 W JEFFERSON BLVD STE 3Fort Wayne, IN 46804-6800

Mailing Address5112 Indiana AveFort Wayne, IN 46807-3026 · (260) 222-6367 · Fax (260) 235-5328

Phone(260) 222-6367

Fax(260) 235-5328

Organization SubpartNo

Authorized OfficialKathy MassonneOwner · (260) 222-6367

Enumeration DateMay 17, 2021

Last NPPES UpdateMay 18, 2021

NPPES CertifiedMay 18, 2021

✔ NPI 1033783766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4630 W JEFFERSON BLVD STE 3, Fort Wayne, IN 46804

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATIE ANN SHULL LCMHA

Counselor (Mental Health)