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AGNES CECILIA OSTERHOLT-POLSTON MSW,LCSWS
NPI 1255346011
Social Worker - Clinical in Fort Wayne, IN

Active since July 30, 2006PECOS EnrolledAccepts Medicare Assignment
4235 FLAGSTAFF COVE, FORT WAYNE, IN 46815(260) 969-6600(260) 969-6601 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Agnes Cecilia Osterholt-polston Msw,lcsws NPPES

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

AGNES CECILIA OSTERHOLT-POLSTON MSW,LCSWS (NPI 1255346011) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34002679A) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1255346011
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAGNES CECILIA OSTERHOLT-POLSTONCredential: MSW,LCSWS
Location Address4235 FLAGSTAFF COVEFort Wayne, IN 46815
Mailing Address4235 Flagstaff CoveFort Wayne, IN 46815 · (260) 969-6600 · Fax (260) 969-6601
Phone(260) 969-6600
Fax(260) 969-6601
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 30, 2006
Last NPPES UpdateJuly 31, 2014
✔ NPI 1255346011 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 · 34002679A
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.
4235 FLAGSTAFF COVE, Fort Wayne, IN 46815
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Agnes Cecilia Osterholt-polston Msw,lcsws is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931188752
PECOS Enrollment IDI20040715001017
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 46815 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.

BRIDGES EMOTIONAL WELLNESS CLINIC, INC
Social Worker (Clinical)
4235 FLAGSTAFF COVE
FORT WAYNE, IN 46815
Allen County (260) 969-6600
RANDALL J. RIDER MS, LSW, LMFT
Marriage & Family Therapist
4235 FLAGSTAFF COVE
FORT WAYNE, IN 46815
Allen County (260) 969-6600

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 Agnes Osterholt-polston's NPI number?

The NPI number for Agnes Osterholt-polston is 1255346011. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Agnes Osterholt-polston located?

Agnes Osterholt-polston practices at 4235 Flagstaff Cove, Fort Wayne, IN 46815. The listed phone number is (260) 969-6600.

What is Agnes Osterholt-polston's specialty?

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

Is Agnes Osterholt-polston enrolled in Medicare?

Yes. Agnes Osterholt-polston is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Agnes Osterholt-polston accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Providence Health Plan and 1 other insurer list Agnes Osterholt-polston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Agnes Osterholt-polston was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.