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Jordan Michael Peterson Stephan, LSW
Clinical Social Worker in Fort Wayne, Indiana
NPI 1700642774

Jordan Michael Peterson Stephan is a Clinical Social Worker based in Fort Wayne, IN and is specialized in Clinical. Jordan Michael Peterson Stephan practices in Fort Wayne, IN and has the professional credentials of LSW. The NPI Number for Jordan Michael Peterson Stephan is 1700642774 and holds a License No. 33011238A (Indiana).

The current practice location address for Jordan Michael Peterson Stephan is 10016 Monticello Blvd, Fort Wayne, IN and can be reached out via phone at 920-379-5728.

Location: 10016 Monticello Blvd, Fort Wayne, IN, 46825-2193
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700642774
Provider Name
Jordan Michael Peterson Stephan
Credential
LSW
Provider Entity Type
Individual
Gender
Male
Address
10016 Monticello Blvd, Fort Wayne, IN, 46825-2193
Phone Number
920-379-5728
Fax Number
Provider Enumeration Date
02/26/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10016 Monticello Blvd
City
Fort Wayne
State
Indiana
Zip
46825-2193
Phone Number
920-379-5728
Fax Number
person
Provider Business Mailing Address Details
Address
10016 Monticello Blvd
City
Fort Wayne
State
Indiana
Zip
46825-2193
Phone Number
920-379-5728
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
33011238A (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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