Individual provider · Type 1 NPI
Joseph Shepherd Iv, MSW
Clinical Social Worker · Fort Wayne, IN
Practice location
5534 Saint Joe Rd
Fort Wayne, IN 46835-3328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 33011069A (IN) |
| Social Worker | 104100000X | 257319 (KY) |
| Clinical Social Worker Primary | 1041C0700X | 34011640A (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 1336858133
Joseph Shepherd Iv, MSW's National Provider Identifier is 1336858133, issued on Nov 21, 2022. 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 May 22, 2026.