Jenna Fabrizio, LCSW
Social Worker, Clinical in North Charleston, SC. Individual provider (NPI-1).
NPI number1245804673
StatusActive
Last updated in NPPESMar 29, 2023
Details
- NPI
- 1245804673
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jenna Fabrizio
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 19, 2021
- Certification date
- Mar 29, 2023
- Last updated
- Mar 29, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 091663-01 | NY | Yes |
Practice location
2000 Reynolds Ave Ste 201North Charleston, SC 29405-5868
Phone 843-410-3522
Mailing address
1318 N Main St # 1297Summerville, SC 29483-7308
Phone 843-410-3522
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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