MARY ROSE LCSW, LLC
NPI 1083399869
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fort Wayne, IN

Q: What is Mary Rose Lcsw, LLC's NPI number?

The NPI number for Mary Rose Lcsw, LLC is 1083399869. It was assigned to this organization in the NPPES registry on June 19, 2023.

Q: What is Mary Rose Lcsw, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since June 19, 2023

1732 S HADLEY RD, FORT WAYNE, IN 46804(260) 438-4905 Get Directions Write a Review

NPPES record last updated: May 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2024, Jun 19, 2023 (2 updates tracked since 2023).

On this page

About Mary Rose Lcsw, Llc NPPES

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

MARY ROSE LCSW, LLC (NPI 1083399869) is a healthcare organization registered as a mental health (including community mental health center) in Fort Wayne, Indiana and active in the NPI registry since June 2023. The organization lists Mary Rose Draper, Owner, as its authorized official.

NPPES Registry Identity

NPI1083399869

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameMARY ROSE LCSW, LLC

Location Address1732 S HADLEY RDFort Wayne, IN 46804-1458

Mailing Address1732 S Hadley RdFort Wayne, IN 46804-1458 · (260) 438-4905

Phone(260) 438-4905

Organization SubpartNo

Authorized OfficialMary Rose DraperOwner · (260) 438-4905

Enumeration DateJune 19, 2023

Last NPPES UpdateMay 5, 20242 updates tracked since enumeration

NPPES CertifiedMay 5, 2024

✔ NPI 1083399869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

1732 S HADLEY RD, Fort Wayne, IN 46804

Open in Google Maps ↗

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 Mary Rose Lcsw, LLC's NPI number?

The NPI number for Mary Rose Lcsw, LLC is 1083399869. It was assigned to this organization in the NPPES registry on June 19, 2023.

Where is Mary Rose Lcsw, LLC located?

Mary Rose Lcsw, LLC is located at 1732 S Hadley Rd, Fort Wayne, IN 46804. The listed phone number is (260) 438-4905.

What is Mary Rose Lcsw, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Mary Rose Lcsw, LLC was last updated on May 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.