Healthcare Provider Details

I. General information

NPI: 1265267223
Provider Name (Legal Business Name): JENNIFER JANE WENTZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER TURNER LCSW

II. Dates (important events)

Enumeration Date: 09/07/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 W UNIVERSITY AVE STE 3500A
MUNCIE IN
47303-3428
US

IV. Provider business mailing address

3112 S WALNUT ST
YORKTOWN IN
47396-1622
US

V. Phone/Fax

Practice location:
  • Phone: 765-702-2819
  • Fax:
Mailing address:
  • Phone: 765-748-3560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34011417A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: