Jeffrey R Studebaker, LMHC, LCSW, LCAC is a
Social Worker - Clinical based in Fort Wayne, Indiana. Jeffrey R Studebaker is licensed to practice in Indiana (license number 33002281A) and his current practice location is
6202 Constitution Dr, Suite D, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at
(260) 432-0066.
NPI number for Jeffrey R Studebaker is 1588905715 and his current mailing address is 6202 Constitution Dr, Suite D, Fort Wayne, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588905715.
Healthcare Provider's Profile
| Full Name | Jeffrey R Studebaker |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 6202 Constitution Dr, Fort Wayne, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1588905715
- Provider Enumeration Date: 03/13/2013
- Last Update Date: 03/13/2013
Medical Identifiers
Medical identifiers for Jeffrey R Studebaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588905715 | NPI | - | NPPES |
| 200912670A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001434A (Indiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 39000242A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 33002281A (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. Jeffrey R Studebaker 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 |
|---|
Jeffrey R Studebaker, LMHC, LCSW, LCAC
6202 Constitution Dr, Suite D,
Fort Wayne, IN 46804-1583
Ph: (260) 432-0066 | Jeffrey R Studebaker, LMHC, LCSW, LCAC
6202 Constitution Dr, Suite D,
Fort Wayne, IN 46804-1583
Ph: (260) 432-0066 |
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