Jon Fader, LCAC, LCSW is a
Counselor - Addiction (substance Use Disorder) based in Jeffersonville, Indiana. Jon Fader is licensed to practice in Indiana (license number 87000979A) and his current practice location is
1507 Spring St, Jeffersonville, Indiana. He can be reached at his office (for appointments etc.) via phone at
(407) 347-4536.
NPI number for Jon Fader is 1821416967 and his current mailing address is 1507 Spring St, Jeffersonville, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821416967.
Healthcare Provider's Profile
Full Name | Jon Fader |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 1507 Spring St, Jeffersonville, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821416967
- Provider Enumeration Date: 04/05/2014
- Last Update Date: 07/22/2025
Medical Identifiers
Medical identifiers for Jon Fader such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821416967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 34010187A (Indiana) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000979A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jon Fader is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jon Fader, LCAC, LCSW 1507 Spring St, Jeffersonville, IN 47130-2939 Ph: (407) 347-4536 | Jon Fader, LCAC, LCSW 1507 Spring St, Jeffersonville, IN 47130-2939 Ph: (407) 347-4536 |
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