LYNDA LEE FENNER LISW-S
NPI 1063733012
Social Worker - Clinical in Dayton, OH

Active since June 14, 2010PECOS EnrolledAccepts Medicare Assignment
601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIORAL HEALTH, INC.,, DAYTON, OH 45417(937) 974-4825 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 25, 2019, Jun 28, 2016 (2 updates tracked since 2016).

About Lynda Lee Fenner Lisw-s NPPES

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

LYNDA LEE FENNER LISW-S (NPI 1063733012) is an individual clinical provider in Dayton, Ohio, licensed in Ohio (I.1302995-SUPV) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1063733012
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLYNDA LEE FENNERCredential: LISW-S
Location Address601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIORAL HEALTH, INC.,Dayton, OH 45417-3424
Mailing Address601 S Edwin C Moses Blvd, Samaritan Behavioral Health Inc, 4th Floor Nw BldgDayton, OH 45417-3424 · (937) 734-8333 · Fax (937) 734-4343
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 14, 2010
Last NPPES UpdateSeptember 25, 20192 updates tracked since enumeration
NPI 1063733012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OH · I.1302995-SUPV
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License S0020855 (OH)
601 S EDWIN C MOSES BLVD, Dayton, OH 45417

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lynda Lee Fenner Lisw-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002190097
PECOS Enrollment IDI20170718003237
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
76 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45417 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Psychologist (Clinical)
601 S EDWIN C MOSES BLVD, ELIZABETH PLACE, 4TH FLOOR
DAYTON, OH 45417
Social Worker
601 S EDWIN C MOSES BLVD, FOURTH FLOOR NW BUILDING
DAYTON, OH 45417
Social Worker
601 S EDWIN C MOSES BLVD, FOURTH FLOOR NW BUILDING
DAYTON, OH 45417
Counselor (Mental Health)
601 S EDWIN C MOSES BLVD, FIRST FLOOR NW BUILDING
DAYTON, OH 45417
Counselor
601 S EDWIN C MOSES BLVD, 4TH FLOOR, NW BUILDING
DAYTON, OH 45417
Social Worker
601 S EDWIN C MOSES BLVD, 1ST FLOOR, NW BUILDING
DAYTON, OH 45417
Counselor
601 S EDWIN C MOSES BLVD, 4TH FLOOR, NW BUILDING
DAYTON, OH 45417
Social Worker
601 S EDWIN C MOSES BLVD, 4TH FLOOR, NW BUILDING
DAYTON, OH 45417

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063733012, enumerated as an "individual" on June 14, 2010.

The provider is located at 601 S EDWIN C MOSES BLVD SAMARITAN BEHAVIORAL HEALTH, INC., DAYTON, OH 45417 and the phone number is (937) 974-4825.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.