Individual provider Active NPI

Jennifer Lyne Fadel, LCSW

  • Clinical Social Worker
  • Leitchfield, KY
National Provider Identifier
1922491828
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252898 Issued in KY
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

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100335350MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 13 clinicians

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

LicenseStateTypeSpecialty
252898KYMDClinical Social Worker
7214KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Lakes Counseling Services, LLC CurrentSince Aug 17, 2023 Accepting new patients
TLBH Wellness CurrentSince Sep 19, 2025 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

Verify at the official NPI Registry.