KRISTINE BOHNSTEDT LCSW
NPI 1417097668
Social Worker - Clinical in Fort Wayne, IN

Active since February 07, 2007
2121 LAKE AVE, FORT WAYNE, IN 46805(260) 426-5431(260) 421-1029 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristine Bohnstedt Lcsw NPPES

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

KRISTINE BOHNSTEDT LCSW (NPI 1417097668) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34004867A) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1417097668
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTINE BOHNSTEDTCredential: LCSW
Location Address2121 LAKE AVEFort Wayne, IN 46805-5100
Mailing Address2121 Lake AveFort Wayne, IN 46805-5100 · (260) 426-5431 · Fax (260) 421-1029
Fax(260) 421-1029
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateMarch 26, 2013
NPI 1417097668 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 · 34004867A
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.
2121 LAKE AVE, Fort Wayne, IN 46805

Other Identifiers 3

Medicaid200090360AIN
Medicaid200621410IN
Medicare ID-Type Unspecified146530GIN

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.

Registered Nurse (Oncology)
2121 LAKE AVE
FORT WAYNE, IN 46805
Pharmacist
2121 LAKE AVE
FORT WAYNE, IN 46805
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2121 LAKE AVE
FORT WAYNE, IN 46805
Registered Nurse (Home Health)
2121 LAKE AVE
FORT WAYNE, IN 46805
Registered Nurse
2121 LAKE AVE
FORT WAYNE, IN 46805
Surgery
2121 LAKE AVE, VETERANS AFFAIRS MEDICAL CENTER
FORT WAYNE, IN 46805
Social Worker (Clinical)
2121 LAKE AVE
FORT WAYNE, IN 46805
Registered Nurse (General Practice)
2121 LAKE AVE
FORT WAYNE, IN 46805

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 Kristine Bohnstedt's NPI number?

The NPI number for Kristine Bohnstedt is 1417097668. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Kristine Bohnstedt located?

Kristine Bohnstedt practices at 2121 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 426-5431.

What is Kristine Bohnstedt'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 Kristine Bohnstedt was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.