EDWARD L FENN (LCSW) – Counselor, NPI 1023274768

EDWARD L FENN (LCSW) is a healthcare provider. based in Pahrump, Nevada. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 7358-C (NV). The NPI Number for EDWARD L FENN (LCSW) is 1023274768

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD L FENN (LCSW)
NPI
1023274768
Phone
(702) 428-2870
Address
3620 E CHABLIS N
Enumeration Date
1 August 2008
Last Update Date
28 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7022940433
Graduation Year
2014 (12 years ago)
PAC ID
7517254188
Group Practice PAC ID
3971752684
Professional Enrollment ID
I20160926000644
Address ID
NV890525082HE2360XPKWY502
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

548 CLINICAL SOCIAL WORKER in NV

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Provider Addresses for EDWARD L FENN (LCSW)

  • 3620 E CHABLIS N

    PAHRUMP, NV 890484841

    Phone: (702) 428-2870

    Type: Mailing

  • 3005, West Horizon Ridge Parkway, Sunridge Heights, Henderson, Clark County, Nevada, 89052, United States

    HENDERSON, NV 890525029

    Phone: (702) 428-2870

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160926000644IClinical Social WorkerNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89048)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971752684View full group profile
NameSpecialtyState
Marriage And Family TherapistNV
Mental Health CounselorNV
Nurse PractitionerNV
Mental Health CounselorNV
-NV
Physician AssistantAK
Clinical Social WorkerNV
Mental Health CounselorFL
Clinical Social WorkerCA
Mental Health CounselorNV

Reviews

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Frequently asked questions

What is the standard ID for EDWARD L FENN (LCSW) in the U.S.?
In the U.S., EDWARD L FENN (LCSW) is identified by NPI 1023274768.
Does the public listing show EDWARD L FENN (LCSW) as active?
EDWARD L FENN (LCSW)'s NPI record reflects an active status in NPPES.
Which specialty label fits EDWARD L FENN (LCSW)?
NPPES ties EDWARD L FENN (LCSW) to Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to EDWARD L FENN (LCSW)?
EDWARD L FENN (LCSW) is associated with Pahrump, Nevada in the same public data insurers reference.
Can I export EDWARD L FENN (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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