Individual provider · Type 1 NPI

Jacob Michael Bambenek

Clinical Social Worker · Evansville, IN

NPI number 1346106895 Active

Practice location

2015 Maxwell Ave
Evansville, IN 47711-4359

Fax (812) 671-0627

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	33013480A (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 1346106895

Jacob Michael Bambenek's National Provider Identifier is 1346106895, issued on Dec 29, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evansville, IN. The record was last updated on Dec 29, 2025.