Individual provider · Type 1 NPI

Jodie Kay Gaines, LCSW, LCAC

Clinical Social Worker · Plymouth, IN

NPI number 1669191490 Active

Practice location

540 N Oak Dr
Plymouth, IN 46563-1664

Mailing address

859 Lincolnway E
Plymouth, IN 46563-1936

Other practice locations

  • 901 Anchorage Point Dr, Warsaw, IN 46580-2282 · (800) 342-5653
  • 859 Lincolnway E, Plymouth, IN 46563-1936 · (574) 701-2355

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X87001775A (IN)
Clinical Social Worker Primary 1041C0700X34011629A (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 1669191490

Jodie Kay Gaines, LCSW, LCAC's National Provider Identifier is 1669191490, issued on Aug 24, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plymouth, IN. The record was last updated on Sep 28, 2026.