MR. THADDEUS JAMES BAY LCSW
NPI 1154933216
Social Worker - Clinical in Fort Wayne, IN

Active since August 20, 2020PECOS Enrolled
10331 DAWSONS CREEK BLVD STE D, FORT WAYNE, IN 46825(260) 525-5807(260) 217-0864 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 28, 2023, Aug 20, 2020 (2 updates tracked since 2020).

About Mr. Thaddeus James Bay Lcsw NPPES

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

MR. THADDEUS JAMES BAY LCSW (NPI 1154933216) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34008897A) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154933216
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. THADDEUS JAMES BAYCredential: LCSW
Location Address10331 DAWSONS CREEK BLVD STE DFort Wayne, IN 46825-1908
Mailing Address10331 Dawsons Creek Blvd Ste DFort Wayne, IN 46825-1908 · (260) 525-5807 · Fax (260) 217-0864
Fax(260) 217-0864
Sole ProprietorNo
Enumeration DateAugust 20, 2020
Last NPPES UpdateJuly 28, 20232 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
NPI 1154933216 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 · 34008897A
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.

10331 DAWSONS CREEK BLVD STE D, Fort Wayne, IN 46825

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Thaddeus James Bay Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
10331 DAWSONS CREEK BLVD STE D
FORT WAYNE, IN 46825
Counselor (Mental Health)
10331 DAWSONS CREEK BLVD STE D
FORT WAYNE, IN 46825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154933216, enumerated as an "individual" on August 20, 2020.

The provider is located at 10331 DAWSONS CREEK BLVD STE D FORT WAYNE, IN 46825 and the phone number is (260) 525-5807.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: CareSource and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.