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

Mr. Fennel Edward Kpolie, LSW

Individual provider Clinical Social Worker · NPI 1811545627

Mr. Fennel Edward Kpolie, LSW is a Clinical Social Worker in Ewing, New Jersey. Qualified in 2008, 18 years ago. Practices with Christiana Care Health Services Inc, a 1,481-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Delaware and New Jersey.

Years since qualifying
18
Licensed in
DE, NJ
In the registry since
2019
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

1239 Parkway Ave Ste 102
Ewing, NJ 08628-3000
Phone: (609) 394-3010
Fax: (609) 394-3010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SL05587600 (NJ)
Clinical Social Worker Taxonomy 1041C0700X · Licence Q1-0012005 (DE)

Record details

NPI number1811545627
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorYes
NPI enumeratedAugust 27, 2019
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Christiana Care Health Services Inc — 1481 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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