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

Individual provider Clinical Social Worker · NPI 1245635259

MS. Jennifer Fazio, LMSW is a Clinical Social Worker in Lake Grove, New York. Qualified in 2003, 23 years ago. Practices with Dr Donna Riley Office of Licensed Clinical Social Work PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2014
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

2233 Nesconset Hwy Ste 104
Lake Grove, NY 11755-1000
Phone: (631) 737-5559
Fax: (631) 737-0001
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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 091960 (NY)

Record details

NPI number1245635259
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedNovember 3, 2014
Last updated in NPPESNovember 3, 2014

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Dr Donna Riley Office Of Licensed Clinical Social Work Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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