Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Allen County Drug and Alcohol Consortium, Inc

Organization Clinical Social Worker · NPI 1164133070

Allen County Drug and Alcohol Consortium, Inc provides Clinical Social Worker services in Fort Wayne, Indiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

532 W Jefferson Blvd
Fort Wayne, IN 46802-2906
Phone: (260) 422-8412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1164133070
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristina Wise — Clinical Director · (260) 424-3629
NPI enumeratedDecember 12, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address532 W Jefferson Blvd, Fort Wayne, IN 46802-2906

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