Mary Rose Lcsw, LLC
NPI 1083399869 · Mental Health Clinic/Center (Including Community Mental Health Center) · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Rose Lcsw, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Fort Wayne, IN (NPI 1083399869).
Provider details
- NPI number
- 1083399869
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Draper, Owner(260) 438-4905
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2023-06-19
- Last updated
- 2024-05-05
- Certified
- 2024-05-05
Frequently asked questions
- What is Mary Rose Lcsw, LLC's NPI number?
- Mary Rose Lcsw, LLC's National Provider Identifier (NPI) is 1083399869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Rose Lcsw, LLC?
- Mary Rose Lcsw, LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Mary Rose Lcsw, LLC located?
- Mary Rose Lcsw, LLC's practice location on file with NPPES is 1732 S Hadley Rd, Fort Wayne, IN 46804-1458.
- What is Mary Rose Lcsw, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mary Rose Lcsw, LLC is (260) 438-4905.
- Does Mary Rose Lcsw, LLC accept Medicare?
- Mary Rose Lcsw, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mary Rose Lcsw, LLC?
- The authorized official listed on Mary Rose Lcsw, LLC's NPPES record is Mary Draper, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Rose Lcsw, LLC's NPI active?
- Yes — Mary Rose Lcsw, LLC's NPI (1083399869) is active in the NPPES registry as of the last update on 2024-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.