Jennifer Lyne Fadel, LCSW
Social Worker, Clinical in Leitchfield, KY. Individual provider (NPI-1).
NPI number1922491828
StatusActive
Last updated in NPPESApr 8, 2026
Details
- NPI
- 1922491828
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lyne Fadel
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2015
- Certification date
- Apr 8, 2026
- Last updated
- Apr 8, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 | 252898 | KY | Yes |
| 1041C0700X | Social Worker, Clinical | 7214 | KY |
Practice location
346 S Main StLeitchfield, KY 42754-1428
Phone 270-230-1777 · Fax 270-679-0838
Mailing address
346 S Main StLeitchfield, KY 42754-1428
Phone 270-230-1777 · Fax 270-679-0838
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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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All 9 Clinical Social Worker providers in Leitchfield · All 329 providers in Leitchfield
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