Individual provider Active NPI

Jacqueline Louise Pauchfenton, M.ED.

  • Social Worker
  • Greenville, PA
National Provider Identifier
1942067343
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2614380 Issued in OH
Practice address
172 N Summit Rd
Greenville, PA 16125-9227
Phone
(724) 977-7513
NPI assigned
Mar 1, 2024
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2614380 OH Primary
Social Worker 104100000X SW144414 PA
Behavior Analyst 103K00000X BH002581 PA

Addresses

Primary practice location

172 N Summit Rd
Greenville, PA 16125-9227

Mailing address

2359 Knollwood Ave
Youngstown, OH 44514-1525
Phone (216) 260-1405

Other practice location 1

8100 South St SE
Warren, OH 44484-2445
Phone (216) 260-1405

Other names 1

  • Jacqueline Louise Pauch-Fenton Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
BH002581PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Strength-Based Services PastSince May 1, 2023 Accepting new patients

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1942067343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 KNOLLWOOD AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141525",
            "telephone_number": "216-260-1405",
            "fax_number": "330-632-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 N SUMMIT RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161259227",
            "telephone_number": "724-977-7513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 South St SE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444842445",
            "country_code": "US",
            "telephone_number": "216-260-1405",
            "fax_number": "330-632-8823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUCHFENTON",
        "first_name": "JACQUELINE",
        "middle_name": "LOUISE",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2614380",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW144414",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH002581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "PAUCH-FENTON",
            "middle_name": "LOUISE",
            "credential": "M.ED.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.