KATELYN ANN THAIN
NPI 1700502705
Social Worker - Clinical in Fort Wayne, IN

Active since October 12, 2022PECOS Enrolled
2629 DEERWOOD DR, FORT WAYNE, IN 46825(260) 530-3240 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 2, 2025, Aug 5, 2025, Mar 17, 2025 and 1 more (4 updates tracked since 2022).

About Katelyn Ann Thain NPPES

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

KATELYN ANN THAIN (NPI 1700502705) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34011567A) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700502705
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATELYN ANN THAIN
Location Address2629 DEERWOOD DRFort Wayne, IN 46825-3919
Mailing Address2629 Deerwood DrFort Wayne, IN 46825-3919 · (260) 530-3240
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 12, 2022
Last NPPES UpdateDecember 2, 20254 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
NPI 1700502705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IN · 34011567A
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 33010658A (IN)
2629 DEERWOOD DR, Fort Wayne, IN 46825

Other Names 1

Former Name (1)Katelyn Ann Cooper

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katelyn Ann Thain is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567966203
PECOS Enrollment IDI20250917000564
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 46825 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.

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 Katelyn Thain's NPI number?

The NPI number for Katelyn Thain is 1700502705. It was assigned to this individual provider in the NPPES registry on October 12, 2022. The provider is also known as Katelyn Ann Cooper.

Where is Katelyn Thain located?

Katelyn Thain practices at 2629 Deerwood Dr, Fort Wayne, IN 46825. The listed phone number is (260) 530-3240.

What is Katelyn Thain's specialty?

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

Is Katelyn Thain enrolled in Medicare?

Yes. Katelyn Thain is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katelyn Thain was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.