Jacquelyn Sue Fedrow, MSW, LSW
NPI 1003504382ActiveIndividual· Counselor, Professional· The Villages, FL
Counselor, Professional (MSW, LSW) in The Villages, Florida, licensed in IL, with an NPI issued in April 2023.
Overview
| NPI | 1003504382 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LSW |
| Sole proprietor | No |
| NPI issued | Apr 25, 2023 |
| Last updated in NPPES | Sep 21, 2023 |
| Certified by provider | Sep 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 150008293 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Counselor, Professional providers in The Villages
- 1609646264
- 1902108178
- 1891063772