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ANNA KAYLEEN ENNIS LCSW
NPI 1285345579
Social Worker - Clinical in Fort Wayne, IN

Active since December 08, 2022PECOS Enrolled
2622 LAKE AVE STE 1, FORT WAYNE, IN 46805(260) 299-3160(260) 299-3159 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, May 3, 2023, Dec 8, 2022 (3 updates tracked since 2022).

About Anna Kayleen Ennis Lcsw NPPES

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

ANNA KAYLEEN ENNIS LCSW (NPI 1285345579) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34012201A) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285345579
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNA KAYLEEN ENNISCredential: LCSW
Location Address2622 LAKE AVE STE 1Fort Wayne, IN 46805-5410
Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (765) 288-1928 · Fax (765) 741-0335
Phone(260) 299-3160
Fax(260) 299-3159
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 8, 2022
Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1285345579 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 · 34012201A
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.
2622 LAKE AVE STE 1, Fort Wayne, IN 46805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, UnitedHealthcare.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)

Anna Kayleen Ennis Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436651296
PECOS Enrollment IDI20250909002525
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 46805 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 8

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

ALEXIS CHAPMAN
Nurse Practitioner (Psychiatric/Mental Health)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 494-4135
AMBER M. HISS MSW, LCSW
Counselor (Mental Health)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 299-3160
ERIKA WILLIAMS
Social Worker (Clinical)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 299-3160
KIMBERLY FRAZE PHARMD, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 436-0932
MISS VANESSA MICHELLE HOGAN LMHC, LCAC
Counselor (Mental Health)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 299-3160
MERIDIAN HEALTH SERVICES CORP.
Clinic/Center (Federally Qualified Health Center (FQHC))
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (765) 288-1928
MR. TIMOTHY SCOTT REMINGTON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 299-3160
LETTIE DENISE GRAY MSW,LCSW,LCAC,MAC
Social Worker (Clinical)
2622 LAKE AVE STE 1
FORT WAYNE, IN 46805
Allen County (260) 299-3160

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 Anna Ennis's NPI number?

The NPI number for Anna Ennis is 1285345579. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Where is Anna Ennis located?

Anna Ennis practices at 2622 Lake Ave Ste 1, Fort Wayne, IN 46805. The listed phone number is (260) 299-3160.

What is Anna Ennis's specialty?

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

Is Anna Ennis enrolled in Medicare?

Yes. Anna Ennis is registered in the Medicare PECOS enrollment system.

What insurance does Anna Ennis accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Anna Ennis 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 Anna Ennis was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.