MARY L FAIR LCSW
NPI 1700245180
Social Worker - Clinical in Haverford, PA

Active since February 15, 2016Opted out of Medicare · through Jan 9, 2027
600 HAVERFORD RD, SUITE 201, HAVERFORD, PA 19041(610) 664-2524 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary L Fair Lcsw NPPES

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

MARY L FAIR LCSW (NPI 1700245180) is an individual clinical provider in Haverford, Pennsylvania, licensed in Pennsylvania (CW018702) and active in the NPI registry since February 2016. She has opted out of Medicare through January 9, 2027.

NPPES Registry Identity

NPI1700245180
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY L FAIRCredential: LCSW
Location Address600 HAVERFORD RD, SUITE 201Haverford, PA 19041-1139
Mailing Address2223 S Colorado StPhiladelphia, PA 19145-3808 · (848) 333-5455
Sole ProprietorNo
Enumeration DateFebruary 15, 2016
NPI 1700245180 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 PA · CW018702
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.
600 HAVERFORD RD, Haverford, PA 19041

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mary L Fair Lcsw 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 January 9, 2025 through January 9, 2027.

Opt-Out Effective DateJanuary 9, 2025
Opt-Out In Effect ThroughJanuary 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Pediatrics
600 HAVERFORD RD, SUITE 100
HAVERFORD, PA 19041
Pediatrics
600 HAVERFORD RD, SUITE 100
HAVERFORD, PA 19041
Counselor (Professional)
600 HAVERFORD RD
HAVERFORD, PA 19041
Dentist (Periodontics)
600 HAVERFORD RD, STE 202
HAVERFORD, PA 19041
Counselor (Professional)
600 HAVERFORD RD
HAVERFORD, PA 19041
Pediatrics
600 HAVERFORD RD, SUITE 100
HAVERFORD, PA 19041
Social Worker (Clinical)
600 HAVERFORD RD, SUITE G104
HAVERFORD, PA 19041
Dentist
600 HAVERFORD RD, SUITE G-100
HAVERFORD, PA 19041

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 Mary Fair's NPI number?

The NPI number for Mary Fair is 1700245180. It was assigned to this individual provider in the NPPES registry on February 15, 2016.

Where is Mary Fair located?

Mary Fair practices at 600 Haverford Rd Suite 201, Haverford, PA 19041. The listed phone number is (610) 664-2524.

What is Mary Fair's specialty?

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

Is Mary Fair enrolled in Medicare?

No. Mary Fair has opted out of Medicare through January 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Fair was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.