MRS. FAYETTA BARRON (LISW-S, LICDC) – Social Worker, NPI 1487196788

MRS. FAYETTA BARRON (LISW-S, LICDC) is a healthcare provider. based in Fairborn, Ohio. specializing in Social Worker. They hold the professional credentials LISW-S, LICDC. They hold a License No. I.1801329 (OH). The NPI Number for MRS. FAYETTA BARRON (LISW-S, LICDC) is 1487196788

Main info

Female
Name
MRS. FAYETTA BARRON (LISW-S, LICDC)
NPI
1487196788
Phone
(937) 281-4673
Address
302 W MAIN ST
Enumeration Date
17 November 2016
Last Update Date
19 December 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for MRS. FAYETTA BARRON (LISW-S, LICDC)

  • 302, West Main Street, Fairborn, Greene County, Ohio, 45324, United States

    FAIRBORN, OH 453245037

    Phone: (937) 281-4673

    Fax: (937) 342-4242

    Type: Mailing

  • 474 N Yellow Springs St

    Springfield, OH 455042463

    Phone: (937) 399-9500

    Fax: (937) 342-4242

    Type: Location

  • 113, James Drive, Thomas Trailer Park, Fairborn, Greene County, Ohio, 45324, United States

    FAIRBORN, OH 453245219

    Phone: (937) 241-9230

    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: 2022-06-24

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
I20220624000174IClinical Social WorkerOHTBD

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 45324)

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Reviews

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Frequently asked questions

Can I verify MRS. FAYETTA BARRON (LISW-S, LICDC) with an NPI only?
You can start verification with NPI 1487196788 for MRS. FAYETTA BARRON (LISW-S, LICDC), then check state licensing separately.
Can I rely on MRS. FAYETTA BARRON (LISW-S, LICDC) being an active provider?
As of the registry snapshot, MRS. FAYETTA BARRON (LISW-S, LICDC) is marked active.
What is MRS. FAYETTA BARRON (LISW-S, LICDC)'s specialty?
The listing groups MRS. FAYETTA BARRON (LISW-S, LICDC) with Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. FAYETTA BARRON (LISW-S, LICDC)?
MRS. FAYETTA BARRON (LISW-S, LICDC)'s geographic hint is Fairborn, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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