MEDICARE: JERRY WAYNE HACK LCSW, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	35000040A	IN
2	1041C0700X	Clinical Social Worker	34002364A	IN

General Provider Information

NPI Number	:	1770607863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERRY WAYNE HACK LCSW, LMFT

Provider Business Mailing Address
First Line	:	198 STONEYBROOK DR
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46142-2108
Country	:	US
Telephone Number	:	317-887-1348
Fax Number	:	317-882-1631

Provider Business Practice Location Address
First Line	:	898 E MAIN ST
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-1407
Country	:	US
Telephone Number	:	317-887-1348
Fax Number	:	317-882-1631

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	01/24/2008

Similar Medicare Providers

1720087620 — SELECT SPECIALTY HOSPITAL - INDIANAPOLIS INC
Practice Location Address:

898 E MAIN ST
GREENWOOD, IN
46143-1407

Practice Phone: 317-925-8066
Practice Fax: 317-925-8861

1699722405 — VALLE VISTA, LLC
Practice Location Address:

898 E MAIN ST
GREENWOOD, IN
46143-1407

Practice Phone: 317-887-1348
Practice Fax: 317-882-1631

1780617092 — DR. VICKI ELAINE BURDINE MD
Practice Location Address:

898 E MAIN ST
GREENWOOD, IN
46143-1407

Practice Phone: 317-887-1348
Practice Fax: 317-888-1104

1750316766 — DR. JENNIFER C SLOAN MD
Practice Location Address:

898 E MAIN ST
GREENWOOD, IN
46143-1407

Practice Phone: 317-887-1348
Practice Fax: 317-888-1104

1902826936 — DR. VIKRAM M. PATEL M.D.
Practice Location Address:

898 E MAIN STREET
GREENWOOD, IN
46143-1407

Practice Phone: 317-887-1333
Practice Fax: 317-887-1333

1417032996 — TRANSITIONAL HOSPITALS CORPORATION OF INDIANA, INC.
Practice Location Address:

607 GREENWOOD SPRINGS DRIVE
GREENWOOD, IN
46143-1407

Practice Phone: 317-888-8155
Practice Fax: 317-888-7382

1669513784 — JENNIFER A COMER MD
Practice Location Address:

898 E MAIN ST
GREENWOOD, IN
46143-1407

Practice Phone: 317-887-1348
Practice Fax:

Directions to “ JERRY WAYNE HACK LCSW, LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.