Fayetta Barron, LISW-S, LICDC
NPI 1487196788ActiveIndividual· Social Worker· Fairborn, OH
Social Worker (LISW-S, LICDC) in Fairborn, Ohio, licensed in OH, with an NPI issued in November 2016. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1487196788 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW-S, LICDC |
| Sole proprietor | No |
| NPI issued | Nov 17, 2016 |
| Last updated in NPPES | Dec 19, 2019 |
| Certified by provider | Dec 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | S1501079 | OH |
| Social Worker, Clinical | 1041C0700X | I.1801329 | OH |
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) | Enrolled Practitioner - Clinical Social Worker (OH) |
|---|
Other Social Worker providers in Fairborn
- 1457096034
- 1437798493
- 1679247597
- 1770146821
- 1437598455
- 1952068215
- 1750926564
- 1265377477
- 1972048841
- 1932714136
- 1114710779
- 1548796139