Individual provider · Type 1 NPI

Rita Irene Polivick, M.S., LCSW

Mental Health Counselor · Fort Wayne, IN

NPI number 1437387537 Active

Practice location

3010 E State Blvd
Fort Wayne, IN 46805-4700

Call (260) 471-2300 Map

Mailing address

P.o. Box 9532
Fort Wayne, IN 46899-9532

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X34003316A (IN)
Mental Health Counselor 101YM0800XMH4219 (FL)
Clinical Social Worker 1041C0700X34003316A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1437387537

Rita Irene Polivick, M.S., LCSW's National Provider Identifier is 1437387537, issued on Jun 26, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 25, 2026.