Jennifer Fenske-Doyle MSW Lisw-S LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0009170-SUPV Issued in OH

Legal business name

JENNIFER FENSKE-DOYLE MSW LISW-S LLC

Practice address

1055 E Centerville Station Rd
Dayton, OH 45459-5500

Phone

(937) 439-2984

Fax

(937) 439-2984

NPI assigned

Oct 30, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Fenske-Doyle, LISW-SNPI 1558391805

Title

Sole Member

Phone

(937) 439-2984

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer K Fenske-Doyle, MSW, LISW

  • Clinical Social Worker
  • Dayton, OH
  • NPI 1558391805
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1205208121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E CENTERVILLE STATION RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454595500",
            "telephone_number": "937-439-2984",
            "fax_number": "937-439-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 E CENTERVILLE STATION RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454595500",
            "telephone_number": "937-439-2984",
            "fax_number": "937-439-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER FENSKE-DOYLE MSW LISW-S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "FENSKE-DOYLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "937-439-2984",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009170-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Sherrell Jenkins, LISW
• Trena Jenkins, LISW-S
• Yolanda Jean Jenkins, RN
• Keila Jenks
• Jennifer a Smith OB GYN LLC
• Barry Adolph Jennings, LISW
• Donaven Jennings
• Karlissa Jennings
• Paul Jennings, PEER SUPPORT
• Emmeron West Jensen

• Clinical Social Worker in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.