IndividualActive
Jacob Clayton, LCSW
NPI 1851383871 · Professional Counselor · Fort Wayne, IN
Provider details
- NPI number
- 1851383871
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 34005012A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
106 Three Rivers N
Fort Wayne, IN 46802-1312
Phone: (260) 426-5778
Approximate (ZIP-level) locationGet directions
Mailing address
106 Three Rivers N
Fort Wayne, IN 46802-1312
Registry dates
- Enumerated
- 2005-08-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.