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

Individual provider Clinical Social Worker · NPI 1821506437

Emerson Samuel Fetty, LISW is a Clinical Social Worker in Akron, Ohio. Qualified in 2018, 8 years ago. Practices with Thrive Counseling LLC, a 1,188-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

45 Arch St Ste 500
Akron, OH 44304-1403
Phone: (330) 379-5094
Fax: (330) 379-5095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.2002270 (OH)

Record details

NPI number1821506437
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedJanuary 17, 2018
Last updated in NPPESAugust 9, 2025
Certification dateAugust 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Thrive Counseling Llc — 1188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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