1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Clinic Center
  6. NPI Profile

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

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: July 19, 2026.

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

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.Information from the official NPPES registry record.

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 ↗

Reviews for MARY ROSE LCSW, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

What is MARY ROSE LCSW, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1083399869, enumerated as an "organization" on June 19, 2023.

Where is the provider located?

The provider is located at 1732 S HADLEY RD FORT WAYNE, IN 46804 and the phone number is (260) 438-4905.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).