IndividualActive
Agnes Osterholt-Polston, MSW,LCSWS
NPI 1255346011 · Clinical Social Worker · Fort Wayne, IN
Provider details
- NPI number
- 1255346011
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW,LCSWS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 34002679A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4235 Flagstaff Cove
Fort Wayne, IN 46815
Phone: (260) 969-6600
Fax: (260) 969-6601
Approximate (ZIP-level) locationGet directions
Mailing address
4235 Flagstaff Cove
Fort Wayne, IN 46815
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2014-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.