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

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: November 01, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kaley Fairbairn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaley Fairbairn LLC
5.5 mi
Clinical
1960 RUPERT ST NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
NPI 1033870829 (616) 540-6010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
550 CASCADE WEST PKWY SE
GRAND RAPIDS, MI 49546
Kent County (616) 930-4123
MR. ARDRACE D MORRIS
Psychologist (Counseling)
550 CASCADE WEST PKWY SE
GRAND RAPIDS, MI 49546
Kent County (616) 930-4123
KATE VANNIER LPC
Counselor (Mental Health)
550 CASCADE WEST PKWY SE
GRAND RAPIDS, MI 49546
Kent County (616) 930-4123
BRITTANY KLEMISH LLMSW
Social Worker (Clinical)
550 CASCADE WEST PKWY SE
GRAND RAPIDS, MI 49546
Kent County (616) 930-4123
DAVID HAMILTON PSYD
Psychologist (Clinical)
550 CASCADE WEST PKWY SE
GRAND RAPIDS, MI 49546
Kent County (616) 719-9192
DAVID W HAMILTON PSYD PLLC
Psychologist
550 CASCADE WEST PKWY SE
GRAND RAPIDS, MI 49546
Kent County (616) 930-4123
616 COUNSELING PROFESSIONAL CORPORATION
Social Worker (Clinical)
550 CASCADE WEST PKWY SE
GRAND RAPIDS, MI 49546
Kent County (616) 930-4123
MAICEE ANNE VANSKYOCK
Social Worker
550 CASCADE WEST PKWY SE
GRAND RAPIDS, MI 49546
Kent County (616) 930-4123

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 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.

Where is Kaley Fairbairn located?

Kaley Fairbairn practices at 550 Cascade West Pkwy SE, Grand Rapids, MI 49546. The listed phone number is (616) 930-4123.

What is Kaley Fairbairn's specialty?

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

Is Kaley Fairbairn enrolled in Medicare?

Yes. Kaley Fairbairn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaley Fairbairn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaley Fairbairn reassigns Medicare benefits to Kaley Fairbairn LLC (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaley Fairbairn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaley Fairbairn accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Kaley Fairbairn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.