MEREDITH FENNEMA
NPI 1407233851
Social Worker in Grand Rapids, MI

Active since May 05, 2015Opted out of Medicare · through Nov 30, 2027
201 MONROE AVE NW, SUITE 400, GRAND RAPIDS, MI 49503(800) 600-4096(800) 606-8839 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Meredith Fennema NPPES

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

MEREDITH FENNEMA (NPI 1407233851) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801093653) and active in the NPI registry since May 2015. She has opted out of Medicare through November 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407233851
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMEREDITH FENNEMA
Location Address201 MONROE AVE NW, SUITE 400Grand Rapids, MI 49503-2212
Mailing Address201 Monroe Ave Nw, Suite 400Grand Rapids, MI 49503-2212 · (800) 600-4096 · Fax (800) 606-8839
Fax(800) 606-8839
Sole ProprietorNo
Enumeration DateMay 5, 2015
NPI 1407233851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in MI · 6801093653
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.
201 MONROE AVE NW, Grand Rapids, MI 49503

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Meredith Fennema has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 30, 2015 through November 30, 2027.

Opt-Out Effective DateNovember 30, 2015
Opt-Out In Effect ThroughNovember 30, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
201 MONROE AVE NW, SUITE 400
GRAND RAPIDS, MI 49503
Social Worker
201 MONROE AVE NW, SUITE 300
GRAND RAPIDS, MI 49503
Social Worker
201 MONROE AVE NW, SUITE 300
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 MONROE AVE NW, SUITE 400
GRAND RAPIDS, MI 49503
Social Worker
201 MONROE AVE NW, SUITE 300
GRAND RAPIDS, MI 49503

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 Meredith Fennema's NPI number?

The NPI number for Meredith Fennema is 1407233851. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Meredith Fennema located?

Meredith Fennema practices at 201 Monroe Ave NW Suite 400, Grand Rapids, MI 49503. The listed phone number is (800) 600-4096.

What is Meredith Fennema's specialty?

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

Is Meredith Fennema enrolled in Medicare?

No. Meredith Fennema has opted out of Medicare through November 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Meredith Fennema was last updated on May 5, 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.