MS. NICOLE MARIE GAUNT LCSW
NPI 1326683228
Social Worker - Clinical in Fort Wayne, IN

Active since November 14, 2019PECOS Enrolled
2200 RANDALLIA DR, FORT WAYNE, IN 46805(260) 373-8000(260) 373-8034 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 16, 2020, Nov 14, 2019 (2 updates tracked since 2019).

About Ms. Nicole Marie Gaunt Lcsw NPPES

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

MS. NICOLE MARIE GAUNT LCSW (NPI 1326683228) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34008302A) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1326683228
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. NICOLE MARIE GAUNTCredential: LCSW
Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638
Mailing Address3702 New Vision Dr Bldg BFort Wayne, IN 46845-1703
Fax(260) 373-8034
Sole ProprietorYes
Enumeration DateNovember 14, 2019
Last NPPES UpdateJanuary 16, 20202 updates tracked since enumeration
NPI 1326683228 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 · 34008302A
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.

2200 RANDALLIA DR, Fort Wayne, IN 46805

Secondary Practice Location 1

Location 13010 E State BlvdFort Wayne, IN 46805-4700 · Phone (260) 471-2300

Other Identifiers 2

Other34008302AIN · Lcsw License
Medicaid34008302AIN

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)

Ms. Nicole Marie Gaunt 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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 46805 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.48
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $16.62
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Emergency Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Pathology (Anatomic Pathology & Clinical Pathology)
2200 RANDALLIA DR
FT WAYNE, IN 46805
Pathology (Anatomic Pathology & Clinical Pathology)
2200 RANDALLIA DR
FT WAYNE, IN 46805
Pathology (Anatomic Pathology & Clinical Pathology)
2200 RANDALLIA DR
FT WAYNE, IN 46805
Pathology (Anatomic Pathology & Clinical Pathology)
2200 RANDALLIA DR
FT WAYNE, IN 46805
Pathology (Anatomic Pathology & Clinical Pathology)
2200 RANDALLIA DR
FT WAYNE, IN 46805
Radiology (Diagnostic Radiology)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Radiology (Diagnostic Radiology)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Radiology (Diagnostic Radiology)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Radiology (Diagnostic Radiology)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Radiology (Diagnostic Radiology)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Radiology (Diagnostic Radiology)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Nurse Practitioner (Family)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Radiology (Diagnostic Radiology)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Radiology (Diagnostic Radiology)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Radiology (Diagnostic Radiology)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Skilled Nursing Facility
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Physical Therapy Assistant
2200 RANDALLIA DR
FORT WAYNE, IN 46805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326683228, enumerated as an "individual" on November 14, 2019.

The provider is located at 2200 RANDALLIA DR FORT WAYNE, IN 46805 and the phone number is (260) 373-8000.

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

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