IndividualActive
Charlotte Elliott, LCSW
NPI 1073672937 · Mental Health Counselor · Fort Wayne, IN
Provider details
- NPI number
- 1073672937
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 34004693A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6334 Constitution Dr
Fort Wayne, IN 46804-1518
Phone: (260) 209-1209
Fax: (260) 782-3215
Street-level locationGet directions
Mailing address
6334 Constitution Dr Ste 23
Fort Wayne, IN 46804-1518
Additional practice locations (1)
- 1910 Saint Joe Center RdSuite 23Fort Wayne, IN 46825-5000Phone: (260) 484-5599Fax: (260) 484-5664
Registry dates
- Enumerated
- 2006-12-07
- Last updated
- 2019-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.