Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RITA IRENE POLIVICK M.S., LCSW,
NPI 1437387537
Counselor - Mental Health in Fort Wayne, IN

Active since June 26, 2009PECOS EnrolledAccepts Medicare Assignment
3010 E STATE BLVD, FORT WAYNE, IN 46805(260) 471-2300 Get Directions Write a Review

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

About Rita Irene Polivick M.s., Lcsw, NPPES

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

RITA IRENE POLIVICK M.S., LCSW, (NPI 1437387537) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (34003316A) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1437387537
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRITA IRENE POLIVICKCredential: M.S., LCSW,
Location Address3010 E STATE BLVDFort Wayne, IN 46805-4700
Mailing AddressP.o. Box 9532Fort Wayne, IN 46899-9532 · (260) 437-1248
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateJune 26, 2009
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1437387537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in IN · 34003316A Licensed in FL · MH4219
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 34003316A (IN)
3010 E STATE BLVD, Fort Wayne, IN 46805

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 and accepts Medicare assignment

Rita Irene Polivick M.s., Lcsw, 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 ID9032435763
PECOS Enrollment IDI20150224000798
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.

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)
3010 E STATE BLVD
FORT WAYNE, IN 46805
Social Worker (Clinical)
3010 E STATE BLVD
FORT WAYNE, IN 46805
Psychiatry & Neurology (Psychiatry)
3010 E STATE BLVD, SUTIE 100
FORT WAYNE, IN 46805
Counselor (Mental Health)
3010 E STATE BLVD
FORT WAYNE, IN 46805
Nurse Practitioner (Family)
3010 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
3010 E STATE BLVD
FORT WAYNE, IN 46805
Clinic/Center (Rehabilitation)
3010 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Professional)
3010 E STATE BLVD
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 Rita Polivick's NPI number?

The NPI number for Rita Polivick is 1437387537. It was assigned to this individual provider in the NPPES registry on June 26, 2009.

Where is Rita Polivick located?

Rita Polivick practices at 3010 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 471-2300.

What is Rita Polivick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Rita Polivick enrolled in Medicare?

Yes. Rita Polivick 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 Rita Polivick accept?

Health plans from CareSource and UnitedHealthcare list Rita Polivick 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 Rita Polivick was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.