Jordan Peterson Stephan, LSW
NPI 1700642774 · Clinical Social Worker · Fort Wayne, IN
Jordan Peterson Stephan, LSW is a Clinical Social Worker provider in Fort Wayne, IN (NPI 1700642774).
Provider details
- NPI number
- 1700642774
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 33011238A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-02-26
- Last updated
- 2024-02-26
- Certified
- 2024-02-26
Frequently asked questions
- What is Jordan Peterson Stephan's NPI number?
- Jordan Peterson Stephan's National Provider Identifier (NPI) is 1700642774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Peterson Stephan's specialty?
- Jordan Peterson Stephan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jordan Peterson Stephan located?
- Jordan Peterson Stephan's practice location on file with NPPES is 10016 Monticello Blvd, Fort Wayne, IN 46825-2193.
- What is Jordan Peterson Stephan's phone number?
- The practice phone number listed in the NPPES registry for Jordan Peterson Stephan is (920) 379-5728.
- Is Jordan Peterson Stephan's NPI active?
- Yes — Jordan Peterson Stephan's NPI (1700642774) is active in the NPPES registry as of the last update on 2024-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.