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

MS. Jill Freshour, LCSW

Individual provider Clinical Social Worker · NPI 1720077654

MS. Jill Freshour, LCSW is a Clinical Social Worker in Fort Wayne, Indiana. Graduated from Western Michigan Un Homer Stryker School of Med in 2000, 26 years ago. Practices with Extended Care Specialists, Inc, a 290-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
26
Trained at
Western Michigan Un Homer Stryker School of Med
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

3512 Stellhorn Rd
Fort Wayne, IN 46815-4631
Phone: (260) 483-9081
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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 34005809A (IN)

Record details

NPI number1720077654
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolWESTERN MICHIGAN UN HOMER STRYKER SCHOOL OF MED
Graduated 2000 (26 years in practice)
Group practice Extended Care Specialists, Inc — 290 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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