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NPI Code Detail

MEDICARE: JENNIFER FENSKE-DOYLE MSW LISW-S LLC

MEDICARE: JENNIFER FENSKE-DOYLE MSW LISW-S LLC
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
11041C0700XClinical Social WorkerI.0009170-SUPVOH

General Provider Information

NPI Number : 1205208121
Entity Type Code : Organization
Provider Name (Legal Business Name) : JENNIFER FENSKE-DOYLE MSW LISW-S LLC
Provider Business Mailing Address
First Line : 1055 E CENTERVILLE STATION RD
Second Line :
City : DAYTON
State : OH
Zip : 45459-5500
Country : US
Telephone Number : 937-439-2984
Fax Number : 937-439-2984
Provider Business Practice Location Address
First Line : 1055 E CENTERVILLE STATION RD
Second Line :
City : DAYTON
State : OH
Zip : 45459-5500
Country : US
Telephone Number : 937-439-2984
Fax Number : 937-439-2984
Authorized Official
Title or Position : SOLE MEMBER
Name : JENNIFER FENSKE-DOYLE
Credential : LISW-S
Telephone Number : 937-439-2984
Provider Enumeration Date : 10/30/2015
Last Update Date : 01/19/2023

Similar Medicare Providers

1558391805 — MRS. JENNIFER K FENSKE-DOYLE MSW, LISW
Practice Location Address:
1055E CENTERVILLE STATION RD
DAYTON, OH
45459-5500
Practice Phone: 937-439-2984
Practice Fax: 937-439-2984
1407005804 — MRS. KATHLEEN RHODES ANDERSON LISW-S
Practice Location Address:
1055 E CENTERVILLE STATION RD
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45459-5500
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Practice Fax: 937-439-2984
1972837771 — TAMMY F WILLIAMS-PETRY LISW
Practice Location Address:
1055 E CENTERVILLE STATION RD
DAYTON, OH
45459-5500
Practice Phone: 937-439-2984
Practice Fax: 937-439-2984
1831527977 — KATHLEEN R ANDERSON LISW-S LLC
Practice Location Address:
1055 E CENTERVILLE STATION RD
DAYTON, OH
45459-5500
Practice Phone: 937-439-2984
Practice Fax: 937-439-4429
1639566466 — COLEEN HENDERSON LISW-S
Practice Location Address:
1055 E CENTERVILLE STATION RD
DAYTON, OH
45459-5500
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Practice Fax: 937-439-2984
1316316268 — LISA MONAGHAN LISW-S LLC
Practice Location Address:
1055 E CENTERVILLE STATION RD
DAYTON, OH
45459-5500
Practice Phone: 937-439-2984
Practice Fax: 937-439-2984

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