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JENNIFER MARIE FACKELMAN
NPI 1578828984
Social Worker - Clinical in Toledo, OH

Active since July 11, 2012PECOS EnrolledAccepts Medicare Assignment
1822 CHERRY ST, TOLEDO, OH 43608(419) 720-9247 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Marie Fackelman NPPES

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

JENNIFER MARIE FACKELMAN (NPI 1578828984) is an individual clinical provider in Toledo, Ohio, licensed in Ohio (S.0901179) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1578828984
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER MARIE FACKELMAN
Location Address1822 CHERRY STToledo, OH 43608-2801
Mailing Address2283 Ashland AveToledo, OH 43620-1205 · (419) 244-2175
Phone(419) 720-9247
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 11, 2012
Last NPPES UpdateApril 24, 2020
NPPES CertifiedApril 24, 2020
✔ NPI 1578828984 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 · S.0901179
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.
1822 CHERRY ST, Toledo, OH 43608
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Jennifer Marie Fackelman 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 ID9931539269
PECOS Enrollment IDI20221116000282
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43608 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 4

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

MS. WENDY JEAN SHAHEEN LISW-S
Social Worker (Clinical)
1822 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 720-9247
MR. MATTHEW DAVID RIZZO LISW-S
Social Worker (Clinical)
1822 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 720-9247
MRS. MELISSA ARLENE MCMILLAN LSW
Social Worker (Clinical)
1822 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 720-9247
JENNIFER MARIE SEYMOUR PH.D., PCC
Counselor (Professional)
1822 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 720-9247

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 Jennifer Fackelman's NPI number?

The NPI number for Jennifer Fackelman is 1578828984. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Jennifer Fackelman located?

Jennifer Fackelman practices at 1822 Cherry St, Toledo, OH 43608. The listed phone number is (419) 720-9247.

What is Jennifer Fackelman's specialty?

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

Is Jennifer Fackelman enrolled in Medicare?

Yes. Jennifer Fackelman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Fackelman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and MedMutual list Jennifer Fackelman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Fackelman was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.