Search › Indiana › 104100000X
Taylor Niese, LSW
NPI 1730685512 · on the registry since 2018 · sole proprietor
Practice
- Address
- 6359 Constitution Dr
Fort Wayne, IN 46804 - Phone
- (419) 890-5500
- Organisation at this address
- Path Forward Therapy
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 251S00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana