Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jetaun T Gardner, LSW

Individual provider Clinical Social Worker · NPI 1659850121

Jetaun T Gardner, LSW is a Clinical Social Worker in Munster, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2018
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

9335 Calumet Ave Ste D
Munster, IN 46321-4176
Phone: (219) 836-9200
Fax: (219) 836-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 99087806A (IN)

Record details

NPI number1659850121
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorYes
NPI enumeratedAugust 7, 2018
Last updated in NPPESAugust 7, 2018
Mailing address9335 Calumet Ave Ste D, Munster, IN 46321-4176

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