Individual provider · Type 1 NPI
Jordan Michael Peterson Stephan, LSW
Clinical Social Worker · Fort Wayne, IN
Practice location
10016 Monticello Blvd
Fort Wayne, IN 46825-2193
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 33011238A (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…
2 other providers at this address
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About NPI 1700642774
Jordan Michael Peterson Stephan, LSW's National Provider Identifier is 1700642774, issued on Feb 26, 2024. 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 Feb 26, 2024.