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CASSANDRA LYN FAIRBOTHAM LMSW
NPI 1598447732
Social Worker - Clinical in Holland, MI

Active since August 07, 2023PECOS EnrolledAccepts Medicare Assignment
650 S WAVERLY RD, HOLLAND, MI 49423(616) 591-9000(616) 432-3059 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2025, Aug 7, 2023 (2 updates tracked since 2023).

About Cassandra Lyn Fairbotham Lmsw NPPES

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

CASSANDRA LYN FAIRBOTHAM LMSW (NPI 1598447732) is an individual clinical provider in Holland, Michigan, licensed in Michigan (6801120796) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1598447732
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCASSANDRA LYN FAIRBOTHAMCredential: LMSW
Location Address650 S WAVERLY RDHolland, MI 49423-9121
Mailing Address4191 E Valley DrHudsonville, MI 49426-7465 · (616) 312-6822
Phone(616) 591-9000
Fax(616) 432-3059
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 7, 2023
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1598447732 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 · 6801120796
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.
650 S WAVERLY RD, Holland, MI 49423
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassandra Lyn Fairbotham Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032602651
PECOS Enrollment IDI20251203000276
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MANDY FISHER FNP-C
Nurse Practitioner
650 S WAVERLY RD
HOLLAND, MI 49423
Allegan County (616) 312-2859

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 Cassandra Fairbotham's NPI number?

The NPI number for Cassandra Fairbotham is 1598447732. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Cassandra Fairbotham located?

Cassandra Fairbotham practices at 650 S Waverly Rd, Holland, MI 49423. The listed phone number is (616) 591-9000.

What is Cassandra Fairbotham's specialty?

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

Is Cassandra Fairbotham enrolled in Medicare?

Yes. Cassandra Fairbotham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cassandra Fairbotham was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.