LAKAN NICHOLLE SHIPPY LCSW
NPI 1932058344
Social Worker - Clinical in Fort Wayne, IN

Active since January 27, 2026PECOS EnrolledAccepts Medicare Assignment
909 E STATE BLVD, FORT WAYNE, IN 46805(260) 481-2700(260) 481-2838 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 6, 2026, Jan 27, 2026 (2 updates tracked since 2026).

About Lakan Nicholle Shippy Lcsw NPPES

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

LAKAN NICHOLLE SHIPPY LCSW (NPI 1932058344) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34012445A) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1932058344
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLAKAN NICHOLLE SHIPPYCredential: LCSW
Location Address909 E STATE BLVDFort Wayne, IN 46805-3404
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 481-2838
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 27, 2026
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
NPI 1932058344 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 · 34012445A
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.

909 E STATE BLVD, Fort Wayne, IN 46805

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

Lakan Nicholle Shippy 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 ID8224518717
PECOS Enrollment IDI20260213003415
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 46805 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.

Psychologist (Clinical)
909 E STATE BLVD
FORT WAYNE, IN 46805
Psychiatry & Neurology (Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Psychiatry & Neurology (Child & Adolescent Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Psychiatry & Neurology (Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Marriage & Family Therapist
909 E STATE BLVD
FORT WAYNE, IN 46805
Social Worker (Clinical)
909 E STATE BLVD
FORT WAYNE, IN 46805
Marriage & Family Therapist
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932058344, enumerated as an "individual" on January 27, 2026.

The provider is located at 909 E STATE BLVD FORT WAYNE, IN 46805 and the phone number is (260) 481-2700.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.