ROBERT JOHN FETZER M.S., L.M.S.W.
NPI 1619049004
Social Worker - Clinical in Richmond, MI

Q: What is Robert Fetzer's NPI number?

The NPI number for Robert Fetzer is 1619049004. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Robert Fetzer'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 Robert Fetzer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 14, 2006PECOS Enrolled

400 STODDARD RD, RICHMOND, MI 48062(810) 392-2167 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Robert John Fetzer M.s., L.m.s.w. NPPES

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

ROBERT JOHN FETZER M.S., L.M.S.W. (NPI 1619049004) is an individual clinical provider in Richmond, Michigan, licensed in Michigan (6801004435) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619049004

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameROBERT JOHN FETZERCredential: M.S., L.M.S.W.

Location Address400 STODDARD RDRichmond, MI 48062-2505

Mailing Address2900 Rosa Parks BlvdDetroit, MI 48216-1217 · (313) 965-6597

Phone(810) 392-2167

Sole ProprietorYes

Enumeration DateNovember 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619049004 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 · 6801004435

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.

400 STODDARD RD, Richmond, MI 48062

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.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)

Robert John Fetzer M.s., L.m.s.w. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48062 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 $58.04 – $177.36

Typical copayment $0.00 (range $14.51 – $44.34)

Most-billed visit code NA

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 20

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

JACOB PATTENAUDE

Social Worker (Clinical)