| Jordan Michael Peterson Stephan, LSW | |
|
10016 Monticello Blvd, Fort Wayne, IN 46825-2193 | |
| (920) 379-5728 | |
| Not Available |
| Full Name | Jordan Michael Peterson Stephan |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 10016 Monticello Blvd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700642774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 33011238A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Michael Peterson Stephan, LSW 10016 Monticello Blvd, Fort Wayne, IN 46825-2193 Ph: (920) 379-5728 | Jordan Michael Peterson Stephan, LSW 10016 Monticello Blvd, Fort Wayne, IN 46825-2193 Ph: (920) 379-5728 |
Alia Osborn, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6526 Hillsboro Ln, Fort Wayne, IN 46835 Phone: 260-494-2205 | |
Nicholas Todoran, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1909 Carew St, Fort Wayne, IN 46805 Phone: 260-481-2800 Fax: 260-969-8442 | |
Jeri Ann Forrest, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1818 Carew St, Suite 230, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8003 | |
Rikki Lynn Treesh, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4918 Canterbury Dr, Fort Wayne, IN 46835 Phone: 260-241-6191 | |
Ms. Yvonne Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3262 Mallard Cove Ln, Fort Wayne, IN 46804 Phone: 260-580-8508 Fax: 260-755-1451 | |
Deborah Louise Amick, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12333 Southampton Dr, Fort Wayne, IN 46814 Phone: 260-672-0491 | |
Scott Kruse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-421-1029 |