Active NPI
Jennifer Lyne Fadel, LCSW
- Clinical Social Worker
- Leitchfield, KY
National Provider Identifier
1922491828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 252898
- Practice address
- 346 S Main St
Leitchfield, KY 42754-1428 - Phone
- (270) 230-1777
- Fax
- (270) 679-0838
- NPI assigned
- Mar 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7214 | KY | |
| Clinical Social Worker | 1041C0700X | 252898 | KY | Primary |
Addresses
Primary practice location
346 S Main St
Leitchfield, KY 42754-1428
Mailing address
346 S Main St
Leitchfield, KY 42754-1428
Phone (270) 230-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100335350 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230831001960 | KY | Practitioner - Clinical Social Worker | 5890158307 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Twin Lakes Counseling Services LLC
Practice addresses (Care Compare)
346 S Main St
Leitchfield, KY 42754-1428
Phone (270) 230-1777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252898 | KY | MD | Clinical Social Worker |
| 7214 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Lakes Counseling Services, LLC | Current | Accepting new patients | |
| TLBH Wellness | Current | Accepting new patients |
Locations
334 S Main St
Leitchfield, KY 42754
Phone (270) 200-0501
346 S Main St
Leitchfield, KY 42754
Phone (270) 230-1777
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1922491828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 S MAIN ST",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427541428",
"telephone_number": "270-230-1777",
"fax_number": "270-679-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 S MAIN ST",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427541428",
"telephone_number": "270-230-1777",
"fax_number": "270-679-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADEL",
"first_name": "JENNIFER",
"middle_name": "LYNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-17",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "7214",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "252898",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100335350",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leitchfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.