Michael Fenning, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016724 Issued in NC

Practice address

1708 S Mebane St Ste 302
Burlington, NC 27215-6591

Phone

(336) 229-4624

NPI assigned

Apr 14, 2023

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1528754231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 S MEBANE ST STE 302",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156591",
            "telephone_number": "336-229-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 S MEBANE ST STE 302",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156591",
            "telephone_number": "336-229-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNING",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Renee Faulcon, LCMHC
• Favor and Faith Family Care Home LLC
• Feeling Great, Inc.
• Consuelo Yesenia Feliz Mendez, M.D.
• Makeba Felton, FNP
• Cynthia Pilon Ferdinandsen, CRNA
• Tonya Denise Ferebee
• Nathalie Alejandra Fernandez Mendez
• Deborah Jean Ferrero Conover, CRNA
• Amanda Assunta Ferri

• Clinical Social Worker in Burlington, NC
• Providers in Burlington, 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 Apr 14, 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.