Organization · Type 2 NPI

Pure Intention Services, LLC

Clinical Social Worker · Fort Wayne, IN

NPI number 1790506202 Active

Practice location

6136 Constitution Dr
Fort Wayne, IN 46804-1526

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1790506202

Pure Intention Services, LLC's National Provider Identifier is 1790506202, issued on Oct 18, 2024. 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 Oct 25, 2026.