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Katelyn Elizabeth Fahey

Social Worker - Clinical β€’ Pace, FL

Active NPI 1235990037 Individual Practitioner Female Practitioner
Practice location in NPPES

4435 Highway 90
Pace, FL 325712066

Call 8503040390 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4435 Highway 90

Pace, FL 325712066

Telephone 8503040390
Fax 8503040392
Organization at the Same NPPES Address or Phone
Pediatric Associates Pa Facility NPI 1124369160

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2023

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Katelyn Fahey has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Katelyn Fahey as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pace and Florida

9 active clinicians are listed under Social Worker - Clinical with a practice address in Pace, FL (13,469 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-06
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES FL SW25994

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20260507002211

Enrollment State Jurisdiction

FL

PECOS Control ID

4284102245

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1336193143

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 06, 2026

Registered at 4435 HIGHWAY 90, PACE, FL 325712066 (Tel: 8503040390)

πŸ“
Updated Business Mailing Address April 06, 2026

Registered at 2315 W JACKSON ST, PENSACOLA, FL 325057552 (Tel: 8504364630)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2026

Social Worker (license number reported to NPPES: FL SW25994)

βœ…
NPI Profile Active January 18, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 18, 2024

Registered at 1380 N PALAFOX ST, PENSACOLA, FL 325012641 (Tel: 8504364630)

πŸ“
Business Mailing Address (Initial Record) January 18, 2024

Registered at 8801 PATHSTONE BLVD APT 5104, PENSACOLA, FL 325264562 (Tel: 8505916045)

πŸ‘€
Provider Name / Credentials (Initial Record) January 18, 2024

Recorded as KATELYN FAHEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2024

Social Worker

🟒
Initial NPI Registration & Enumeration January 18, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235990037
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2024
Last Update: April 06, 2026
Sole Proprietor: No

Mailing Address

2315 W Jackson St

Pensacola, FL 325057552

Phone: 8504364630

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.