JEFFREY R STUDEBAKER LMHC, LCSW, LCAC
NPI 1588905715
Social Worker - Clinical in Fort Wayne, IN

Active since March 13, 2013
6202 CONSTITUTION DR, SUITE D, FORT WAYNE, IN 46804(260) 432-0066(260) 432-8503 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jeffrey R Studebaker Lmhc, Lcsw, Lcac NPPES

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

JEFFREY R STUDEBAKER LMHC, LCSW, LCAC (NPI 1588905715) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (33002281A) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1588905715
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEFFREY R STUDEBAKERCredential: LMHC, LCSW, LCAC
Location Address6202 CONSTITUTION DR, SUITE DFort Wayne, IN 46804-1583
Mailing Address6202 Constitution Dr, Suite DFort Wayne, IN 46804-1583 · (260) 432-0066 · Fax (260) 432-8503
Fax(260) 432-8503
Sole ProprietorNo
Enumeration DateMarch 13, 2013
✔ NPI 1588905715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 33002281A
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 87001434A (IN)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 39000242A (IN)
6202 CONSTITUTION DR, Fort Wayne, IN 46804

Other Identifiers 1

Medicaid200912670AIN

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
6202 CONSTITUTION DR
FORT WAYNE, IN 46804
Counselor (Mental Health)
6202 CONSTITUTION DR
FORT WAYNE, IN 46804
Counselor (Mental Health)
6202 CONSTITUTION DR
FORT WAYNE, IN 46804
Marriage & Family Therapist
6202 CONSTITUTION DR, SUITE D
FORT WAYNE, IN 46804
Home Health
6202 CONSTITUTION DR, SUITE C
FORT WAYNE, IN 46804
Counselor (Mental Health)
6202 CONSTITUTION DR
FORT WAYNE, IN 46804
Home Health
6202 CONSTITUTION DR, SUITE C
FT WAYNE, IN 46804
Counselor (Mental Health)
6202 CONSTITUTION DR, D
FORT WAYNE, IN 46804

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 Jeffrey Studebaker's NPI number?

The NPI number for Jeffrey Studebaker is 1588905715. It was assigned to this individual provider in the NPPES registry on March 13, 2013.

Where is Jeffrey Studebaker located?

Jeffrey Studebaker practices at 6202 Constitution Dr Suite D, Fort Wayne, IN 46804. The listed phone number is (260) 432-0066.

What is Jeffrey Studebaker'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 Jeffrey Studebaker was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.