KIMBERLY D FAROUKI LCSW
NPI 1689940942
Social Worker - Clinical in Fort Wayne, IN
About Kimberly D Farouki Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY D FAROUKI LCSW (NPI 1689940942) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34006395A) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kokomo.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly D Farouki Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Farouki reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kokomo, IN 46902
- Reassigned Medicare billing, Indiana enrollment
- 59 clinicians in this Medicare group
Carmel, IN 46032
- Reassigned Medicare billing, Indiana enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT WAYNE, IN 46815
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 Kimberly Farouki's NPI number?
The NPI number for Kimberly Farouki is 1689940942. It was assigned to this individual provider in the NPPES registry on March 30, 2012.
Where is Kimberly Farouki located?
Kimberly Farouki practices at 3512 Stellhorn Rd, Fort Wayne, IN 46815. The listed phone number is (260) 483-9081.
What is Kimberly Farouki's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kimberly Farouki enrolled in Medicare?
Yes. Kimberly Farouki is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kimberly Farouki's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Farouki reassigns Medicare benefits to 2 organizations: Community Howard Regional Health Inc (Kokomo, IN) and Insight Therapeutic Services LLC. (Carmel, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Farouki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Farouki accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kimberly Farouki 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 Kimberly Farouki was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kimberly D Farouki, LCSW · NPI 1689940942
Clinical provider in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since March 30, 2012.
## Identity
- **NPI:** 1689940942 (Entity type: Individual)
- **Enumerated:** March 30, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 34006395A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3512 STELLHORN RD, Fort Wayne, IN 46815
- **Phone:** (260) 483-9081 · **Fax:** (260) 483-9196
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Howard Regional Health Inc (NPI 1881947133, Kokomo, IN); Insight Therapeutic Services LLC. (NPI 1144741349, Carmel, IN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1689940942) · Data from the CMS NPPES public registry.