1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Social Worker
  6. NPI Profile

JORDAN MICHAEL PETERSON STEPHAN LSW
NPI 1700642774
Social Worker - Clinical in Fort Wayne, IN

Active since February 26, 2024
10016 MONTICELLO BLVD, FORT WAYNE, IN 46825(920) 379-5728 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Michael Peterson Stephan Lsw NPPES

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

JORDAN MICHAEL PETERSON STEPHAN LSW (NPI 1700642774) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (33011238A) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1700642774
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJORDAN MICHAEL PETERSON STEPHANCredential: LSW
Location Address10016 MONTICELLO BLVDFort Wayne, IN 46825-2193
Mailing Address10016 Monticello BlvdFort Wayne, IN 46825-2193 · (920) 379-5728
Phone(920) 379-5728
Sole ProprietorYes
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1700642774 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 · 33011238A
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.
10016 MONTICELLO BLVD, Fort Wayne, IN 46825
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

FOLX AND FRIENDS COUNSELING LLC
Counselor (Mental Health)
10016 MONTICELLO BLVD
FORT WAYNE, IN 46825
Allen County (260) 388-3765
WAYNE PETERSON STEPHAN LMHC
Counselor (Mental Health)
10016 MONTICELLO BLVD
FORT WAYNE, IN 46825
Allen County (260) 388-3765

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 Jordan Peterson Stephan's NPI number?

The NPI number for Jordan Peterson Stephan is 1700642774. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Jordan Peterson Stephan located?

Jordan Peterson Stephan practices at 10016 Monticello Blvd, Fort Wayne, IN 46825. The listed phone number is (920) 379-5728.

What is Jordan Peterson Stephan's specialty?

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

What insurance does Jordan Peterson Stephan accept?

Health plans from UnitedHealthcare list Jordan Peterson Stephan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Peterson Stephan was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.