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JILL BULMAHN LCSW
NPI 1285113092
Social Worker - Clinical in Fort Wayne, IN

Active since August 13, 2018
4618 E STATE BLVD STE 300, FORT WAYNE, IN 46815(260) 373-0213(260) 373-0218 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jill Bulmahn Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL BULMAHN LCSW (NPI 1285113092) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34006292A) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1285113092
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJILL BULMAHNCredential: LCSW
Location Address4618 E STATE BLVD STE 300Fort Wayne, IN 46815-6966
Mailing Address4618 E State Blvd Ste 300Fort Wayne, IN 46815-6966 · (260) 373-0213 · Fax (260) 373-0218
Phone(260) 373-0213
Fax(260) 373-0218
Sole ProprietorNo
Enumeration DateAugust 13, 2018
✔ NPI 1285113092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34006292A
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.
4618 E STATE BLVD STE 300, Fort Wayne, IN 46815
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Other Names 1

Former Name (1)Jill Wetzel

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK J CHESEBROUGH LCAC
Counselor (Addiction (Substance Use Disorder))
4618 E STATE BLVD STE 300
FORT WAYNE, IN 46815
Allen County (260) 373-0213
CROSS CONNECTIONS, INC
Counselor (Mental Health)
4618 E STATE BLVD STE 300
FORT WAYNE, IN 46815
Allen County (260) 373-0213
RAPHAEL BOSLEY LMHC
Counselor (Mental Health)
4618 E STATE BLVD STE 300
FORT WAYNE, IN 46815
Allen County (260) 373-0213
MR. MICHAEL CHRISTIAN
Counselor (Mental Health)
4618 E STATE BLVD STE 300
FORT WAYNE, IN 46815
Allen County (603) 730-2132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Bulmahn's NPI number?

The NPI number for Jill Bulmahn is 1285113092. It was assigned to this individual provider in the NPPES registry on August 13, 2018. The provider is also known as Jill Wetzel.

Where is Jill Bulmahn located?

Jill Bulmahn practices at 4618 E State Blvd Ste 300, Fort Wayne, IN 46815. The listed phone number is (260) 373-0213.

What is Jill Bulmahn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jill Bulmahn was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.