JACQUELYN SUE FEDROW MSW, LSW
NPI 1003504382
Counselor - Professional in The Villages, FL

Active since April 25, 2023
8900 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162(352) 674-5000 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacquelyn Sue Fedrow Msw, Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN SUE FEDROW MSW, LSW (NPI 1003504382) is an individual professional provider in The Villages, Florida, licensed in Illinois (150008293) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1003504382
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELYN SUE FEDROWCredential: MSW, LSW
Location Address8900 SE 165TH MULBERRY LNThe Villages, FL 32162-5884
Mailing Address8900 Se 165th Mulberry LnThe Villages, FL 32162-5884 · (352) 674-5000
Sole ProprietorNo
Enumeration DateApril 25, 2023
Last NPPES UpdateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
NPI 1003504382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 150008293
8900 SE 165TH MULBERRY LN, The Villages, FL 32162

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
8900 SE 165TH MULBERRY LN
THE VILLAGES, FL 32162
Audiologist
8900 SE 165TH MULBERRY LN
THE VILLAGES, FL 32162
Nurse Practitioner (Psychiatric/Mental Health)
8900 SE 165TH MULBERRY LN
THE VILLAGES, FL 32162
Internal Medicine
8900 SE 165TH MULBERRY LN
THE VILLAGES, FL 32162
Internal Medicine
8900 SE 165TH MULBERRY LN
THE VILLAGES, FL 32162
Internal Medicine
8900 SE 165TH MULBERRY LN
THE VILLAGES, FL 32162
Family Medicine
8900 SE 165TH MULBERRY LN
THE VILLAGES, FL 32162
Physical Therapist
8900 SE 165TH MULBERRY LN
THE VILLAGES, FL 32162

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Fedrow's NPI number?

The NPI number for Jacquelyn Fedrow is 1003504382. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Jacquelyn Fedrow located?

Jacquelyn Fedrow practices at 8900 SE 165th Mulberry Ln, The Villages, FL 32162. The listed phone number is (352) 674-5000.

What is Jacquelyn Fedrow's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Fedrow was last updated on September 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.