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

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

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