Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Thaddeus Clayton, LCSW

Individual provider Professional Counselor · NPI 1851383871

Jacob Thaddeus Clayton, LCSW is a Professional Counselor in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

106 Three Rivers N
Fort Wayne, IN 46802-1312
Phone: (260) 426-5778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 34005012A (IN)

Record details

NPI number1851383871
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESJuly 8, 2007

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