Jenna Fabrizio, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091663-01 Issued in NY

Practice address

2000 Reynolds Ave Ste 201
North Charleston, SC 29405-5868

Phone

(843) 410-3522

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kids First E.I. Inc.

  • Early Intervention Provider Agency
  • Bronx, NY
  • NPI 1316488745
  NPD (past)

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1245804673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 N MAIN ST # 1297",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837308",
            "telephone_number": "843-410-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 REYNOLDS AVE STE 201",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294055868",
            "telephone_number": "843-410-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRIZIO",
        "first_name": "JENNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091663-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Explore Within Counseling and Coaching LLC
• Extended Care Respiratory Partners LLC
• Extended Family Home Care Services
• Eyemart Express LLC
• Kristen Ezsol
• Caleb A Fackler, PHARMD, MBA
• Christopher Michael Fagerstrom, DC
• Matthew David Falter
• Family Dental Health of Oakbrook
• Family Laser Dental of North Charleston

• Clinical Social Worker in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.