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KEVIN PATRICK FENNELL LSW, CCDC1
NPI 1518072404
Social Worker - Clinical in Dayton, OH

Active since August 20, 2006
732 BECKMAN ST, DAYTON, OH 45410(937) 253-1680 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 12, 2025, Dec 16, 2016 (2 updates tracked since 2016).

About Kevin Patrick Fennell Lsw, Ccdc1 NPPES

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

KEVIN PATRICK FENNELL LSW, CCDC1 (NPI 1518072404) is an individual clinical provider in Dayton, Ohio, licensed in Ohio (0028965) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1518072404
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEVIN PATRICK FENNELLCredential: LSW, CCDC1
Location Address732 BECKMAN STDayton, OH 45410-2165
Mailing Address732 Beckman StDayton, OH 45410-2165
Phone(937) 253-1680
Sole ProprietorYes
Enumeration DateAugust 20, 2006
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1518072404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · 0028965
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.
732 BECKMAN ST, Dayton, OH 45410
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Other Identifiers 1

Medicaid1518072404OH

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.

FRANCESCA WESTERMANN
Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410
Montgomery County (937) 253-1680
MRS. ASHLEY LYNN STICKELMAN AAS, CDCA
Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410
Montgomery County (937) 253-1680
KARLA LYNN BRIDGES
Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410
Montgomery County (937) 253-1680
CORY HURST
Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410
Montgomery County (937) 253-1680
LEA ANDREA DEWBERRY
Behavior Technician
732 BECKMAN ST
DAYTON, OH 45410
Montgomery County (937) 253-1680
JAMES MICHAEL RILEY
Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410
Montgomery County (937) 253-1680
CLAUDIA NICOLE GIBSON
Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410
Montgomery County (937) 253-1680
MR. JOHN EARLY THOMPSON JR.
Counselor (Addiction (Substance Use Disorder))
732 BECKMAN ST
DAYTON, OH 45410
Montgomery County (937) 248-9017

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 Kevin Fennell's NPI number?

The NPI number for Kevin Fennell is 1518072404. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Kevin Fennell located?

Kevin Fennell practices at 732 Beckman St, Dayton, OH 45410. The listed phone number is (937) 253-1680.

What is Kevin Fennell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kevin Fennell was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.