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Jeffrey R Studebaker, LMHC,LCSW,LCAC
Clinical Social Worker in Fort Wayne, Indiana
NPI 1588905715

Jeffrey R Studebaker is a Clinical Social Worker based in Fort Wayne, IN and is specialized in Clinical. Jeffrey R Studebaker practices in Fort Wayne, IN and has the professional credentials of LMHC,LCSW,LCAC. The NPI Number for Jeffrey R Studebaker is 1588905715 and holds a License No. 87001434A (Indiana).

The current practice location address for Jeffrey R Studebaker is 6202 Constitution Dr, Fort Wayne, IN and can be reached out via phone at 260-432-0066 and via fax at 260-432-8503.

Location: 6202 Constitution Dr, Fort Wayne, IN, 46804-1583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588905715
Provider Name
Jeffrey R Studebaker
Credential
LMHC,LCSW,LCAC
Provider Entity Type
Individual
Gender
Male
Address
6202 Constitution Dr, Fort Wayne, IN, 46804-1583
Phone Number
260-432-0066
Fax Number
260-432-8503
Provider Enumeration Date
03/13/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200912670A 05 IN
institution
Provider Business Practice Location Address Details
Address
6202 Constitution Dr
City
Fort Wayne
State
Indiana
Zip
46804-1583
Phone Number
260-432-0066
Fax Number
260-432-8503
person
Provider Business Mailing Address Details
Address
6202 Constitution Dr
City
Fort Wayne
State
Indiana
Zip
46804-1583
Phone Number
260-432-0066
Fax Number
260-432-8503
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
33002281A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
39000242A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
87001434A (Indiana)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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