Individual provider · Type 1 NPI

Jeffrey Fender, LMSW

Counselor · Fort Wayne, IN

NPI number 1780549667 Active

Practice location

412 Greenwood Avenue
Fort Wayne, IN 46808

Call (302) 513-6103 Map

Mailing address

412 Greenwood Ave
Fort Wayne, IN 46808-3326

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X33013521A (IN)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1780549667

Jeffrey Fender, LMSW's National Provider Identifier is 1780549667, issued on Dec 22, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 22, 2025.