Jamie L Fadely, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0030860.SUPV Issued in OH

Practice address

3200 Vine St
Cincinnati, OH 45220-2213

Phone

(513) 225-6368

NPI assigned

Jun 16, 2006

Last updated

Apr 19, 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)

Enrolled

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1609810746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 BROTHERTON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091412",
            "telephone_number": "513-205-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202213",
            "telephone_number": "513-225-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADELY",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0030860.SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Anthony Faber Jr., D.O., M.S.
• David C Fabrey, M.D.
• Joel Cameron Facer
• Jon Richard Fackler, MD
• Lisa Fackler, M.A. LPCC
• Kaitlyn Fadely
• Fadi Bailony
• Angela Fadil
• Fatima Fadlalla, MD
• Mohammed Fadlalla, MD

• Clinical Social Worker in Cincinnati, OH
• Providers in Cincinnati, 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 Apr 19, 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.