MRS. KATIE FENNELL LMSW
NPI 1023164670
Social Worker - Clinical in Grand Rapids, MI

Active since January 26, 2007
2340 DEAN LAKE AVE NE, GRAND RAPIDS, MI 49505(616) 361-6014(616) 361-8051 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Katie Fennell Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATIE FENNELL LMSW (NPI 1023164670) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801090673) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1023164670
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KATIE FENNELLCredential: LMSW
Location Address2340 DEAN LAKE AVE NEGrand Rapids, MI 49505-4446
Mailing Address2340 Dean Lake Ave NeGrand Rapids, MI 49505-4446 · (616) 361-6014 · Fax (616) 361-8051
Fax(616) 361-8051
Sole ProprietorYes
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJune 22, 2015
NPI 1023164670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801090673
Definition
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.
2340 DEAN LAKE AVE NE, Grand Rapids, MI 49505

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2340 DEAN LAKE AVE NE
GRAND RAPIDS, MI 49505
Counselor (Professional)
2340 DEAN LAKE AVE NE
GRAND RAPIDS, MI 49505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Fennell's NPI number?

The NPI number for Katie Fennell is 1023164670. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Katie Fennell located?

Katie Fennell practices at 2340 Dean Lake Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 361-6014.

What is Katie Fennell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Katie Fennell was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.