JACQUELYN SUE FEDROW MSW LSW NPI 1003504382

NPI Information

  • NPI: 1003504382
  • Provider Name: JACQUELYN SUE FEDROW, MSW, LSW
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 8900 SE 165TH MULBERRY LN
    THE VILLAGES, FL
    ZIP 32162
  • Phone: (352) 674-5000

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NPI Details

Jacquelyn Sue Fedrow, MSW, LSW is a professional counselor in The Villages, FL. Jacquelyn Sue Fedrow, MSW, LSW NPI is 1003504382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8900 SE 165TH MULBERRY LN
THE VILLAGES, FL
ZIP 32162-884
Phone: (352) 674-5000

The enumeration date for this NPI number is 4/25/2023 and was last updated on 9/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional150008293ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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