Individual provider · Type 1 NPI

Anna Kayleen Ennis, LCSW

Clinical Social Worker · Fort Wayne, IN

NPI number 1285345579 Active

Practice location

2622 Lake Ave Ste 1
Fort Wayne, IN 46805-5410

Call (260) 299-3160 Map

Fax (260) 299-3159

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34012201A (IN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1285345579

Anna Kayleen Ennis, LCSW's National Provider Identifier is 1285345579, issued on Dec 8, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 17, 2025.