Individual provider · Type 1 NPI

Jacob Zello-Dean, LCSW

Clinical Social Worker · Indianapolis, IN

NPI number 1134044530 Active

Practice location

4755 Kingsway Dr Ste 200
Indianapolis, IN 46205-1572

Fax (317) 259-7034

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34012747A (IN)

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 1134044530

Jacob Zello-Dean, LCSW's National Provider Identifier is 1134044530, issued on Aug 12, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 12, 2026.