Organization
GERARD ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE MARSHALL GERARD LCSW DCSW (OWNER PRESIDENT)
(260) 422-9372
Entity
Organization
Contact information
Practice address
4656 W JEFFERSON BLVD, SUITE 285, FORT WAYNE, IN 46804
(260) 422-9372
(260) 422-0843
Mailing address
4656 W JEFFERSON BLVD, SUITE 285, FORT WAYNE, IN 46804
(260) 422-9372
(260) 422-0843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001586A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000143197
ANTHEM
IN
01
—
280469
VALUE OPTIONS
IN
01
—
4405318
AETNA
IN
Enumeration date
09/20/2006
Last updated
08/22/2020
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