Teresa Fatemah Fennell, MS LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P007168 Issued in NC

Practice address

8801 J M Keynes Dr
Suite 440
Charlotte, NC 28262-8436

Phone

(704) 537-9551

NPI assigned

Jun 7, 2013

Last updated

Sep 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1134567589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12506 ATKINS CIRCLE DR",
            "address_2": "APT 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770037",
            "telephone_number": "704-726-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 J M KEYNES DR",
            "address_2": "SUITE 440",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628436",
            "telephone_number": "704-537-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "TERESA",
        "middle_name": "FATEMAH",
        "name_prefix": "Ms.",
        "credential": "MS LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tsehaiwork Tesfaye Fenikile, MD
• Carly Fenimore, M.S., R.D., L.D.N.
• Fenix Collective Inc
• Sharon Ann Fenlon I
• Payton Gregory Fennell, D.O
• Elizabeth Fenner, M.A.
• Gail Herndon Fennimore, PT
• Alison Mae Fensterer, OTR/L
• Sydney Kay Fenton, DC
• Helen Elizabeth Fentress, LMFTA

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.