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

Individual provider Clinical Social Worker · NPI 1922114016

Mrs. Channe Fodeman, LCSW is a Clinical Social Worker in Westport, Connecticut. Qualified in 1974, 52 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
52
Licensed in
CT
In the registry since
2006
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

12 Hillspoint Rd
Westport, CT 06880-4536
Phone: (203) 226-3411
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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 001072 (CT)

Record details

NPI number1922114016
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 22, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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