Organization
CATHOLIC CHARITIES OF THE DIOCESE OF FORT WAYNE-SOUTH BEND, INC.
Active
Other names
Catholic Charities
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA WHITCRAFT M.S. ED, LMFT (CHIEF EXECUTIVE OFFICER)
(260) 422-5625
Entity
Organization
Contact information
Practice address
915 SOUTH CLINTON, FORT WAYNE, IN 46802
(260) 422-5625
(260) 422-5657
Mailing address
PO BOX 10630, FORT WAYNE, IN 46853-0630
(260) 422-5625
(260) 422-5657
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200100590
—
IN
Enumeration date
01/12/2007
Last updated
01/20/2017
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