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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY R STUDEBAKER, LMHC, LCSW, LCAC

Active

JEFFREY R STUDEBAKER, LMHC, LCSW, LCAC is a Clinical Social Worker healthcare provider located in FORT WAYNE, Indiana. NPI 1588905715 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FORT WAYNE, IN

Registration Details

NPI Number
1588905715
Provider Type
Individual
Gender
Male
NPI Issued
Mar 13, 2013 (13.398040151112 yrs)
Last Updated
Mar 13, 2013
Licenses
87001434A (IN)
39000242A (IN)
33002281A (IN)

Practice Information

Address
6202 CONSTITUTION DR
SUITE D
FORT WAYNE, IN, 468041583
Browse IN providers · Browse ZIP 46804
Phone
2604320066
Fax
2604328503
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Mental Health Counselor
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in FORT WAYNE, IN

Name Credential NPI
MS. LORRAINE MEJER MSN 1588667026
MR. DANIEL S BISHTON MSW 1497758932
SIMON JAMES DUNN LCSW 1962408831
MS. CHRISTINE ANN MOTHERWELL MSW, LMHC, LCSW 1730188798
SCOTT JOSEPH MCALISTER MSW, LCSW 1770583718
MS. JEANNE HARBER PORTER LCSW, ACSW 1811982184
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.