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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BETHANY PRUITT, MSW, LCSW

Active Sole Proprietor

BETHANY PRUITT, MSW, LCSW is a Clinical Social Worker healthcare provider located in FORT WAYNE, Indiana. NPI 1699241620 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FORT WAYNE, IN

Registration Details

NPI Number
1699241620
Provider Type
Individual
Gender
Female
NPI Issued
Oct 17, 2018 (7.6372700726808 yrs)
Last Updated
Oct 17, 2018
License
34008242A (IN)
Sole Proprietor
Yes

Practice Information

Address
3142 MALLARD COVE LN
FORT WAYNE, IN, 468042882
Browse IN providers · Browse ZIP 46804
Phone
2604097073
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in FORT WAYNE, IN

Name Credential NPI
MS. LORRAINE MEJER MSN 1588667026
MR. DANIEL S BISHTON MSW 1497758932
SIMON JAMES DUNN LCSW 1962408831
MS. CHRISTINE ANN MOTHERWELL MSW, LMHC, LCSW 1730188798
SCOTT JOSEPH MCALISTER MSW, LCSW 1770583718
MS. JEANNE HARBER PORTER LCSW, ACSW 1811982184
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.