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Jackie Lynn Fober, LISW

NPI 1851275259ActiveIndividual· Social Worker· Waverly, IA

Social Worker (LISW) in Waverly, Iowa, licensed in IA, with an NPI issued in July 2025. Enrolled in Medicare as practitioner - clinical social worker.

Overview

NPI1851275259
StatusActive
Entity typeIndividual
CredentialLISW
Sole proprietorNo
NPI issuedJul 31, 2025
Last updated in NPPESMay 12, 2026
Certified by providerMay 12, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker Primary104100000X02208IA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (IA)

Medicare sources and data years

Education and affiliations

Graduation year1995
Medicare specialtyClinical Social Worker

Source: CMS Care Compare

Other Social Worker providers in Waverly

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