MR. KERRY LEE MILLS MSW
NPI 1053839027
Social Worker - Clinical in Fort Wayne, IN

Active since August 30, 2017
3010 E STATE BLVD, FORT WAYNE, IN 46805(260) 471-2300(260) 471-2778 Get Directions Write a Review

NPPES record last updated: August 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kerry Lee Mills Msw NPPES

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

MR. KERRY LEE MILLS MSW (NPI 1053839027) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (99080987A) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1053839027
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KERRY LEE MILLSCredential: MSW
Location Address3010 E STATE BLVDFort Wayne, IN 46805-4700
Mailing Address3010 E State BlvdFort Wayne, IN 46805-4700 · (260) 471-2300 · Fax (260) 471-2778
Fax(260) 471-2778
Sole ProprietorNo
Enumeration DateAugust 30, 2017
NPI 1053839027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IN · 99080987A
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.
3010 E STATE BLVD, Fort Wayne, IN 46805

Other Identifiers 1

Medicaid200250010IN

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
3010 E STATE BLVD
FORT WAYNE, IN 46805
Psychiatry & Neurology (Psychiatry)
3010 E STATE BLVD, SUTIE 100
FORT WAYNE, IN 46805
Counselor (Mental Health)
3010 E STATE BLVD
FORT WAYNE, IN 46805
Nurse Practitioner (Family)
3010 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
3010 E STATE BLVD
FORT WAYNE, IN 46805
Clinic/Center (Rehabilitation)
3010 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Professional)
3010 E STATE BLVD
FORT WAYNE, IN 46805
Chiropractor (Orthopedic)
3010 E STATE BLVD
FORT WAYNE, IN 46805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerry Mills's NPI number?

The NPI number for Kerry Mills is 1053839027. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Where is Kerry Mills located?

Kerry Mills practices at 3010 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 471-2300.

What is Kerry Mills's specialty?

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

When was this NPI record last updated?

The NPPES record for Kerry Mills was last updated on August 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.