Individual provider Active NPI

Jennifer April Sovey Fahey, BS MSW LCSW

  • Clinical Social Worker
  • Green Bay, WI
National Provider Identifier
1801971403
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7253-123 Issued in WI
Practice address
916 Willard Dr Ste 125E
Green Bay, WI 54304-0008
Phone
(920) 680-8087
NPI assigned
Oct 25, 2006
Last updated
May 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7253-123 WI Primary

Addresses

Primary practice location

916 Willard Dr Ste 125E
Green Bay, WI 54304-0008

Mailing address

916 Willard Dr Ste 125E
Green Bay, WI 54304-0008
Phone (920) 680-8087

Other identifiers 1

IdentifierTypeStateIssuer
43566800MedicaidWI

Other names 1

  • Jennifer April Sovey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160930000290 WI Practitioner - Clinical Social Worker 5193012474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

916 Willard Dr
Suite 125E
Green Bay, WI 54304-0008
Phone (920) 680-8087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
7253-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Building Resilience Counseling, LLC Clinical CurrentSince Mar 1, 2022 Accepting new patients

Locations

916 Willard Dr
Ste 125E
Green Bay, WI 54304
Phone (920) 680-8087

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1801971403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 WILLARD DR STE 125E",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543040008",
            "telephone_number": "920-680-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WILLARD DR STE 125E",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543040008",
            "telephone_number": "920-680-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVEY FAHEY",
        "first_name": "JENNIFER",
        "middle_name": "APRIL",
        "credential": "BS MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7253-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43566800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SOVEY",
            "middle_name": "APRIL",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.