MEDICARE: TAKIA ARRINGTON 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	99128442A	IN

General Provider Information

NPI Number	:	1760208573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAKIA ARRINGTON LCSW

Provider Business Mailing Address
First Line	:	1314 LIMA MEADOW CT
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-2117
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 ELMROW DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46806-3173
Country	:	US
Telephone Number	:	260-660-0780
Fax Number	:

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

Provider Enumeration Date	:	11/26/2024
Last Update Date	:	11/26/2024

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Directions to “ TAKIA ARRINGTON LCSW” Practice Location

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