MARY B FAHRENKRUG LCSW
NPI 1063639821
Social Worker - Clinical in Jasper, IN
NPI Status: Active since April 20, 2007
Contact Information
480 EVERSMAN DR
JASPER, IN
ZIP 47546
Phone: (812) 482-3020
Fax: (812) 482-6409
- Individual
- Female
- Social Worker
- Clinical
About MARY FAHRENKRUG
This page provides the complete NPI Profile along with additional information for Mary Fahrenkrug, a provider established in Jasper, Indiana with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1063639821 assigned on April 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 34005322A (IN). The provider is registered as an individual and her NPI record was last updated June 2025.
- NPI
- 1063639821
- Provider Name
- MARY B FAHRENKRUG LCSW
- Other Name
- MARY B NOON LCSW
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 480 EVERSMAN DR JASPER, IN 47546
- Location Phone
- (812) 482-3020
- Location Fax
- (812) 482-6409
- Mailing Address
- 610 MILL CREEK LN APT 234 JASPER, IN 47546
- Mailing Phone
- (812) 482-3020
- Mailing Fax
- (812) 482-6409
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-20-2007
- Last Update Date
- 06-08-2025
- Code Navigator
A clinical social worker like Mary Fahrenkrug is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 34005322A
- License State
- IN
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34005322A | OTHER (01) | IN | LICENSE |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 6 | 3 | 9 | 8 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 12 | 3 | 18 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 2 + 3 + 1 + 8 + 8 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1063639821 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649260522 | STACY MOORE-NOLAN LCSW Individual | Social Worker (Clinical) | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1568452449 | TED LARRISON LCSW, CEAP Individual | Social Worker (Clinical) | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1033109913 | MICHAEL KUGLER LCSW Individual | Social Worker (Clinical) | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1063628410 | MRS. JESSICA LAUREN COOPER M.S.W., L.C.S.W. Individual | Social Worker (Clinical) | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1376792721 | MR. MICHAEL K DENU LCSW Individual | Social Worker (Clinical) | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1205104007 | ALICIA D ISAACS LSW Individual | Social Worker | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1326382896 | MISS MALEA R FRICK LSW Individual | Social Worker | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1134118276 | SOUTHERN HILLS COUNSELING CENTER, INC. Organization | Psychologist (Clinical) | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1265743868 | BRETT HURM PH.D., HSPP Individual | Psychologist (Counseling) | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1306211396 | JANET SCHNELL LSW Individual | Social Worker | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1528410768 | KELLY C VANMETER LSW Individual | Social Worker | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1144210014 | SARAH A KLUENDER LCSW Individual | Social Worker (Clinical) | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1811430010 | JENNIFER BOWLDS LSW Individual | Social Worker | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1952844151 | JOSEPH RAPP'E LSW Individual | Social Worker | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1487137907 | TINA M WAHL Individual | Counselor (Mental Health) | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1487128716 | KIMBERLY LYNN COLES Individual | Case Manager/Care Coordinator | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1659821692 | MRS. NATALIE RENAE KRAMER LCSW Individual | Social Worker | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1225678204 | MS. CASSANDRA LEANNE MORTON Individual | Social Worker | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1487121687 | LIFESPRING, INC Organization | Community/Behavioral Health | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
| 1851998413 | ELIJAH SOWRY MSW Individual | Social Worker | 480 EVERSMAN DR JASPER, IN 47546 (812) 482-3020 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063639821, enumerated in the NPI registry as an "individual" on April 20, 2007
The provider is located at 480 Eversman Dr Jasper, In 47546 and the phone number is (812) 482-3020
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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