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

Jessica Lynn Fanning, LCSW

Individual provider Social Worker · NPI 1336636570

Jessica Lynn Fanning, LCSW is a Social Worker in Smithtown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

11 Route 111
Smithtown, NY 11787-3754
Phone: (631) 920-8376
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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 093063 (NY)
Social Worker Taxonomy 104100000X · Licence 098443 (NY)

Record details

NPI number1336636570
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 13, 2018
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

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