MR. CARL RICHARD COSLOW
NPI 1861421620
Social Worker - Clinical in Fort Wayne, IN

Active since July 02, 2006
4656 W JEFFERSON BLVD, STE 285, FORT WAYNE, IN 46804(260) 422-9372(260) 422-0843 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Carl Richard Coslow NPPES

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

MR. CARL RICHARD COSLOW (NPI 1861421620) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34000209A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1861421620
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CARL RICHARD COSLOW
Location Address4656 W JEFFERSON BLVD, STE 285Fort Wayne, IN 46804
Mailing Address4656 W Jefferson Blvd, Ste 285Fort Wayne, IN 46804 · (260) 422-9372 · Fax (260) 422-0843
Fax(260) 422-0843
Sole ProprietorNo
Enumeration DateJuly 2, 2006
Last NPPES UpdateDecember 2, 2008
NPI 1861421620 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 · 34000209A
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.
4656 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Identifiers 6

Medicaid200806690AIN
Other280482IN · Value Options
Medicare ID-Type Unspecified134710IN
Other075209000IN · Magellan
Other000000143216IN · Anthem
Other4405313IN · Aetna

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.

Internal Medicine (Cardiovascular Disease)
4656 W JEFFERSON BLVD, SUITE 125
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Social Worker (Clinical)
4656 W JEFFERSON BLVD, SUITE 285
FORT WAYNE, IN 46804
Counselor (Professional)
4656 W JEFFERSON BLVD, 285
FORT WAYNE, IN 46804
Clinic/Center (Adolescent and Children Mental Health)
4656 W JEFFERSON BLVD, STE. 135
FORT WAYNE, IN 46804

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 Carl Coslow's NPI number?

The NPI number for Carl Coslow is 1861421620. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Carl Coslow located?

Carl Coslow practices at 4656 W Jefferson Blvd Ste 285, Fort Wayne, IN 46804. The listed phone number is (260) 422-9372.

What is Carl Coslow'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 Carl Coslow was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.