Organization Active NPI

Fenn Systems Inc.

  • Social Worker
  • Winter Park, FL
National Provider Identifier
1275863235
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW9595 Issued in FL
Legal business name
FENN SYSTEMS INC.
Practice address
1870 Aloma Ave Ste 110
Winter Park, FL 32789-4050
Phone
(407) 629-2883
Fax
(407) 629-2883
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Timothy E Fennell, PHD
Title
Director
Phone
(407) 629-2883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X SW9595 FL Primary

Addresses

Primary practice location

1870 Aloma Ave Ste 110
Winter Park, FL 32789-4050

Mailing address

1870 Aloma Ave Ste 110
Winter Park, FL 32789-4050
Phone (407) 629-2883

National Provider Directory

National Provider Directory

Locations

1870 Aloma Ave
Ste 110
Winter Park, FL 32789
Phone (407) 629-2883

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1275863235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 ALOMA AVE STE 110",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894050",
            "telephone_number": "407-629-2883",
            "fax_number": "407-629-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 ALOMA AVE STE 110",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894050",
            "telephone_number": "407-629-2883",
            "fax_number": "407-629-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENN SYSTEMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "FENNELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-629-2883",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW9595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.