KIMBERLY D FAROUKI LCSW
NPI 1689940942
Social Worker - Clinical in Fort Wayne, IN

Q: 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.

Q: What is Kimberly Farouki's specialty?

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

Q: 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.

Active since March 30, 2012PECOS Enrolled

3512 STELLHORN RD, FORT WAYNE, IN 46815(260) 483-9081(260) 483-9196 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2019, May 17, 2016, Mar 3, 2016 (3 updates tracked since 2016).

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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

NPI1689940942

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIMBERLY D FAROUKICredential: LCSW

Location Address3512 STELLHORN RDFort Wayne, IN 46815

Mailing AddressPo Box 392552Pittsburgh, PA 15251-9550 · (512) 575-8028 · Fax (512) 772-4550

Phone(260) 483-9081

Fax(260) 483-9196

Sole ProprietorNo

Enumeration DateMarch 30, 2012

Last NPPES UpdateJanuary 22, 20193 updates tracked since enumeration

✔ NPI 1689940942 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 · 34006395A

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.

3512 STELLHORN RD, Fort Wayne, IN 46815

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Secondary Practice Location 1

Location 15550 Sandstone AveKokomo, IN 46901-8853 · Phone (765) 459-3891

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Kimberly D Farouki 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 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.

New Patient

$0.00 typical visit price

range $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. LHYRA DAWIS MAYORALGO PT

Contractor