BETHANY S. KELLOGG MSW, LCSW
NPI 1295245835
Social Worker - Clinical in Fort Wayne, IN

Active since October 10, 2017
2100 GOSHEN RD, FORT WAYNE, IN 46808(574) 936-9646(574) 936-9646 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2021, Jul 22, 2020, Oct 10, 2017 (3 updates tracked since 2017).

About Bethany S. Kellogg Msw, Lcsw NPPES

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

BETHANY S. KELLOGG MSW, LCSW (NPI 1295245835) is an individual clinical provider in Fort Wayne, Indiana and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1295245835
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBETHANY S. KELLOGGCredential: MSW, LCSW
Location Address2100 GOSHEN RDFort Wayne, IN 46808-1493
Mailing Address2621 E Jefferson StWarsaw, IN 46580-3880 · (574) 267-7169
Fax(574) 936-9646
Sole ProprietorNo
Enumeration DateOctober 10, 2017
Last NPPES UpdateFebruary 25, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
NPI 1295245835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedSocial WorkerTaxonomy 104100000X
2100 GOSHEN RD, Fort Wayne, IN 46808

Other Names 1

Former Name (1)Bethany Gehman

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Marriage & Family Therapist
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Psychiatry & Neurology (Psychiatry)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor
2100 GOSHEN RD
FORT WAYNE, IN 46808
Social Worker (Clinical)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor
2100 GOSHEN RD
FORT WAYNE, IN 46808

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 Bethany Kellogg's NPI number?

The NPI number for Bethany Kellogg is 1295245835. It was assigned to this individual provider in the NPPES registry on October 10, 2017. The provider is also known as Bethany Gehman.

Where is Bethany Kellogg located?

Bethany Kellogg practices at 2100 Goshen Rd, Fort Wayne, IN 46808. The listed phone number is (574) 936-9646.

What is Bethany Kellogg's specialty?

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

What insurance does Bethany Kellogg accept?

Health plans from CareSource list Bethany Kellogg 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 Bethany Kellogg was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.