Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740646843 Individual Practitioner Female Practitioner

Kaitlin Marie Nini , MSSA, LCSW

Social Worker • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Kaitlin Nini, MSSA, LCSW is a registered healthcare professional specializing in Social Worker in Fort Wayne, IN. Practice services are available at 1027 W RUDISILL BLVD # 207 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1027 W Rudisill Blvd # 207

Fort Wayne, IN 468072160

Telephone 2602253128
Associated Practice Facility / Clinic
🏢 Peaceful Waves Counseling Llc Facility NPI 1376354654

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
119 Specialists

Practicing in Fort Wayne, IN (2058 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-16
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IN 34008811A

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location January 16, 2025

Registered at 1027 W RUDISILL BLVD # 207, FORT WAYNE, IN 468072160 (Tel: 2602253128)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2025

Social Worker (License #34008811A in IN)

📍
Updated Business Mailing Address July 17, 2023

Registered at 15610 GRASSY WILLOW DR, HUNTERTOWN, IN 467489117 (Tel: 5865300735)

📍
Updated Practice Location June 14, 2023

Registered at 3010 E STATE BLVD STE B, FORT WAYNE, IN 468054700 (Tel: 2604712300)

📍
Updated Business Mailing Address June 14, 2023

Registered at 3010 E STATE BLVD, FORT WAYNE, IN 468054700 (Tel: 8653007355)

👤
Provider Name / Credentials Updated June 14, 2023

Recorded as KAITLIN NINI, MSSA, LCSW

👤
Provider Name / Credentials Updated June 27, 2019

Recorded as KAITLIN NINI, LMSW, IMH-E (III)

NPI Profile Active January 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2016

Registered at 21885 DUNHAM RD, SUITE 1, CLINTON TWP, MI 480361030 (Tel: 5867643624)

📍
Updated Business Mailing Address January 06, 2016

Registered at 21885 DUNHAM RD, SUITE 1, CLINTON TWP, MI 480361030 (Tel: 5867643624)

👤
Provider Name / Credentials Updated January 06, 2016

Recorded as KAITLIN CARDEN, LLMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2016

Social Worker (License #6801098995 in MI)

🟢
Initial NPI Registration & Enumeration January 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740646843
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2016
Last Update: January 16, 2025
Sole Proprietor: Yes

Mailing Address

15610 Grassy Willow Dr

Huntertown, IN 467489117

Phone: 5865300735

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.