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NPI Code Detail

MEDICARE: MRS. JENNIFER K FENSKE-DOYLE MSW, LISW

MEDICARE: MRS. JENNIFER K FENSKE-DOYLE MSW, LISW
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
1101YM0800XMental Health CounselorI-9170OH
21041C0700XClinical Social WorkerI0009170OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558391805
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER K FENSKE-DOYLE MSW, LISW
Provider Business Mailing Address
First Line : 1055E 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 : 1055E 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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 03/30/2023

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