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

Leah E Fondaw, LCSW

Individual provider Clinical Social Worker · NPI 1245558097

Leah E Fondaw, LCSW is a Clinical Social Worker in Paducah, Kentucky. Qualified in 1992, 34 years ago. Practices with Western Ky Regional Mhmr Board Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
34
Licensed in
KY
In the registry since
2010
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

425 Broadway St
Paducah, KY 42001-0713
Phone: (270) 442-7121
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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 1350 (KY)

Record details

NPI number1245558097
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 4, 2010
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Western Ky Regional Mhmr Board Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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