Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Patrick Fennell, LSW, CCDC1

Individual provider Clinical Social Worker · NPI 1518072404

Kevin Patrick Fennell, LSW, CCDC1 is a Clinical Social Worker in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2006
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

732 Beckman St
Dayton, OH 45410-2165
Phone: (937) 253-1680
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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 0028965 (OH)

Record details

NPI number1518072404
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW , CCDC1
Sole proprietorYes
NPI enumeratedAugust 20, 2006
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

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