Jeanne K Whitehead, LCSW, LMFT is a
Marriage & Family Therapist based in Fort Wayne, Indiana. Jeanne K Whitehead is licensed to practice in Indiana (license number 35000690A) and her current practice location is
4656 W Jefferson Blvd, Suite 150, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at
(260) 432-4346.
NPI number for Jeanne K Whitehead is 1801843255 and her current mailing address is 6327 Crofton Dr, Fort Wayne, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801843255.
Healthcare Provider's Profile
Full Name | Jeanne K Whitehead |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 4656 W Jefferson Blvd, Fort Wayne, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801843255
- Provider Enumeration Date: 05/30/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jeanne K Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801843255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 34003073A (Indiana) | Primary |
106H00000X | Marriage & Family Therapist | 35000690A (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. Jeanne K Whitehead 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 |
Jeanne K Whitehead, LCSW, LMFT 6327 Crofton Dr, Fort Wayne, IN 46835-8730 Ph: (260) 485-0121 | Jeanne K Whitehead, LCSW, LMFT 4656 W Jefferson Blvd, Suite 150, Fort Wayne, IN 46804-6857 Ph: (260) 432-4346 |
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