Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Fegadel

Individual provider Social Worker · NPI 1316542400

Bethany Fegadel is a Social Worker in Tucker, Georgia. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2151 Dillard Xing
Tucker, GA 30084-5937
Phone: (585) 739-6266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X · Licence LC23567 (ME)

Record details

NPI number1316542400
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 4, 2020
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address2151 Dillard Xing, Tucker, GA 30084-5937

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