Shauna Marie Croarkin, Ed.S., NCSP
Psychologist, School in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1003633736
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1003633736
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shauna Marie Croarkin
- Credential
- Ed.S., NCSP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2024
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 10101976 | IN | Yes |
Practice location
1200 Barr StFort Wayne, IN 46802-3502
Phone 260-467-1124 · Fax 260-467-1188
Mailing address
1200 Barr StFort Wayne, IN 46802-3502
Phone 260-467-1124 · Fax 260-467-1188
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 30 School Psychologist providers in Fort Wayne · All 11,302 providers in Fort Wayne
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