MEDICARE: ANGELA D METRO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	34011939A	IN
2	104100000X	Social Worker	33006976A	IN

General Provider Information

NPI Number	:	1396106852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA D METRO LCSW

Provider Business Mailing Address
First Line	:	8532 RAMSHIRE LN
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46835-4486
Country	:	US
Telephone Number	:	260-450-5412
Fax Number	:

Provider Business Practice Location Address
First Line	:	8532 RAMSHIRE LN
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46835-4486
Country	:	US
Telephone Number	:	260-450-5412
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2016
Last Update Date	:	05/18/2026

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Directions to “ ANGELA D METRO LCSW” Practice Location

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