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

Jennifer Marie Fackelman

Individual provider Clinical Social Worker · NPI 1578828984

Jennifer Marie Fackelman is a Clinical Social Worker in Toledo, Ohio. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Licensed in
OH
In the registry since
2012
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1822 Cherry St
Toledo, OH 43608-2801
Phone: (419) 720-9247
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence S.0901179 (OH)

Record details

NPI number1578828984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2012
Last updated in NPPESApril 24, 2020
Certification dateApril 24, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Toledo