KELLY J FAIRCHILD LMSW
NPI 1447557111
Social Worker - Clinical in Grand Rapids, MI

Q: What is Kelly Fairchild's NPI number?

The NPI number for Kelly Fairchild is 1447557111. It was assigned to this individual provider in the NPPES registry on February 16, 2011.

Q: What is Kelly Fairchild's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Fairchild was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 February 16, 2011

3351 EAGLE RUN DR NE, STE C, GRAND RAPIDS, MI 49525(616) 365-8920(616) 365-8971 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly J Fairchild Lmsw NPPES

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

KELLY J FAIRCHILD LMSW (NPI 1447557111) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801058552) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1447557111

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLY J FAIRCHILDCredential: LMSW

Location Address3351 EAGLE RUN DR NE, STE CGrand Rapids, MI 49525-7070

Mailing Address3351 Eagle Run Dr Ne, Ste CGrand Rapids, MI 49525-7070 · (616) 365-8920 · Fax (616) 365-8971

Phone(616) 365-8920

Fax(616) 365-8971

Sole ProprietorYes

Enumeration DateFebruary 16, 2011

✔ NPI 1447557111 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 · 6801058552

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.

3351 EAGLE RUN DR NE, Grand Rapids, MI 49525

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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 ›

Other Providers at the Same Location NPPES 9

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

MR. BRANDEN LYON LMSW

Social Worker (Clinical)

3351 EAGLE RUN DR NE, SUITE C
GRAND RAPIDS, MI 49525

Kent County (616) 365-8920

MRS. MICHELINE MARTHA LOCKERD LMSW

Social Worker (Clinical)

3351 EAGLE RUN DR NE
GRAND RAPIDS, MI 49525

Kent County (616) 365-8920

ELITE SPINE AND MUSCULOSKELETAL CENTER PLLC

Physical Medicine & Rehabilitation (Pain Medicine)

3351 EAGLE RUN DR NE
GRAND RAPIDS, MI 49525

Kent County (616) 325-1224

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Psychiatry & Neurology (Psychiatry)

3351 EAGLE RUN DR NE
GRAND RAPIDS, MI 49525

Kent County (616) 454-2004

MRS. JENNIFER ANN PHILLIPS MSW, LMSW

Social Worker (Clinical)

3351 EAGLE RUN DR NE, SUITE C
GRAND RAPIDS, MI 49525

Kent County (616) 365-8920

RENE LOUISE MANKER

Physical Therapist (Pediatrics)

3351 EAGLE RUN DR NE
GRAND RAPIDS, MI 49525

Kent County (616) 365-8920

MR. BRADLEY TAYLOR BRIDGES LMSW

Social Worker (Clinical)

3351 EAGLE RUN DR NE
GRAND RAPIDS, MI 49525

Kent County (616) 365-8920

ROCHELLE G MANOR PH.D.

Clinical Neuropsychologist

3351 EAGLE RUN DR NE, SUITE C
GRAND RAPIDS, MI 49525

Kent County (616) 365-8920

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 Kelly Fairchild's NPI number?

The NPI number for Kelly Fairchild is 1447557111. It was assigned to this individual provider in the NPPES registry on February 16, 2011.

Where is Kelly Fairchild located?

Kelly Fairchild practices at 3351 Eagle Run Dr NE Ste C, Grand Rapids, MI 49525. The listed phone number is (616) 365-8920.

What is Kelly Fairchild's specialty?

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

What insurance does Kelly Fairchild 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 Kelly Fairchild 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 Kelly Fairchild was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.