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JETAUN T GARDNER LSW
NPI 1659850121
Social Worker - Clinical in Munster, IN

Active since August 07, 2018
9335 CALUMET AVE STE D, MUNSTER, IN 46321(219) 836-9200(219) 836-4200 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jetaun T Gardner Lsw NPPES

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

JETAUN T GARDNER LSW (NPI 1659850121) is an individual clinical provider in Munster, Indiana, licensed in Indiana (99087806A) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1659850121
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJETAUN T GARDNERCredential: LSW
Location Address9335 CALUMET AVE STE DMunster, IN 46321-4176
Mailing Address9335 Calumet Ave Ste DMunster, IN 46321-4176 · (219) 836-9200 · Fax (219) 836-4200
Phone(219) 836-9200
Fax(219) 836-4200
Sole ProprietorYes
Enumeration DateAugust 7, 2018
✔ NPI 1659850121 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 · 99087806A
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.
9335 CALUMET AVE STE D, Munster, IN 46321
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Other Providers at the Same Location NPPES 2

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

SAFE COALITION FOR HUMAN RIGHTS INC
Community/Behavioral Health
9335 CALUMET AVE STE D
MUNSTER, IN 46321
Lake County (219) 378-7161
AARON J BOILEAU MS, LMHC-A
Counselor (Mental Health)
9335 CALUMET AVE STE D
MUNSTER, IN 46321
Lake County (219) 595-9494

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 Jetaun Gardner's NPI number?

The NPI number for Jetaun Gardner is 1659850121. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is Jetaun Gardner located?

Jetaun Gardner practices at 9335 Calumet Ave Ste D, Munster, IN 46321. The listed phone number is (219) 836-9200.

What is Jetaun Gardner'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 Jetaun Gardner was last updated on August 7, 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.