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ALLEN COUNTY DRUG AND ALCOHOL CONSORTIUM, INC.
NPI 1164133070
Social Worker - Clinical in Fort Wayne, IN

Active since December 12, 2022
532 W JEFFERSON BLVD, FORT WAYNE, IN 46802(260) 422-8412 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Allen County Drug And Alcohol Consortium, Inc. NPPES

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

ALLEN COUNTY DRUG AND ALCOHOL CONSORTIUM, INC. (NPI 1164133070) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since December 2022. The organization lists Kristina L Wise, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1164133070
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameALLEN COUNTY DRUG AND ALCOHOL CONSORTIUM, INC.
Location Address532 W JEFFERSON BLVDFort Wayne, IN 46802-2906
Mailing Address532 W Jefferson BlvdFort Wayne, IN 46802-2906 · (260) 422-8412
Phone(260) 422-8412
Organization SubpartNo
Authorized OfficialKristina L WiseClinical Director · (260) 424-3629
Enumeration DateDecember 12, 2022
NPPES CertifiedDecember 12, 2022
✔ NPI 1164133070 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.
532 W JEFFERSON BLVD, Fort Wayne, IN 46802
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Allen County Drug And Alcohol Consortium, Inc.'s NPI number?

The NPI number for Allen County Drug And Alcohol Consortium, Inc. is 1164133070. It was assigned to this organization in the NPPES registry on December 12, 2022.

Where is Allen County Drug And Alcohol Consortium, Inc. located?

Allen County Drug And Alcohol Consortium, Inc. is located at 532 W Jefferson Blvd, Fort Wayne, IN 46802. The listed phone number is (260) 422-8412.

What is Allen County Drug And Alcohol Consortium, Inc.'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 Allen County Drug And Alcohol Consortium, Inc. was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.