KALEY SUZANNE FAIRBAIRN LMSW
NPI 1396286258
Social Worker in Grand Rapids, MI

Q: What is Kaley Fairbairn's NPI number?

The NPI number for Kaley Fairbairn is 1396286258. It was assigned to this individual provider in the NPPES registry on March 12, 2017.

Q: What is Kaley Fairbairn's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Kaley Fairbairn was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 12, 2017PECOS Enrolled

550 CASCADE WEST PKWY SE, GRAND RAPIDS, MI 49546(616) 930-4123 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kaley Suzanne Fairbairn Lmsw NPPES

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

KALEY SUZANNE FAIRBAIRN LMSW (NPI 1396286258) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801108273) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1396286258

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKALEY SUZANNE FAIRBAIRNCredential: LMSW

Location Address550 CASCADE WEST PKWY SEGrand Rapids, MI 49546-2137

Mailing Address1960 Rupert St NeGrand Rapids, MI 49525-2861 · (616) 540-6010

Phone(616) 930-4123

Sole ProprietorYes

Enumeration DateMarch 12, 2017

Last NPPES UpdateDecember 14, 2020

NPPES CertifiedDecember 14, 2020

✔ NPI 1396286258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed in MI · 6801108273✔ Licensed in MI · 6801098978

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

550 CASCADE WEST PKWY SE, Grand Rapids, MI 49546

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Secondary Practice Location 1

Location 1805 Leonard St NEGrand Rapids, MI 49503-1138 · Phone (616) 451-2021

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaley Suzanne Fairbairn Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

BRENT ALAN PARZUCHOWSKI

Social Worker