Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lynda Lee Fenner, LISW-S

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063733012

Lynda Lee Fenner, LISW-S is a Clinical Social Worker in Dayton, Ohio. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Licensed in
OH
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

601 S Edwin C Moses Blvd Samaritan Behavioral Health Inc
Dayton, OH 45417-3424
Phone: (937) 974-4825
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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.1302995-SUPV (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Social Worker Taxonomy 104100000X · Licence S0020855 (OH)

Record details

NPI number1063733012
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedJune 14, 2010
Last updated in NPPESSeptember 25, 2019

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

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