Mrs Katie Fennell, LMSW - Clinical Social Worker in Grand Rapids, MI

Mrs Katie Fennell, LMSW is a Social Worker - Clinical based in Grand Rapids, Michigan. Mrs Katie Fennell is licensed to practice in Michigan (license number 6801090673) and her current practice location is 2340 Dean Lake Ave Ne, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 361-6014.

NPI number for Mrs Katie Fennell is 1023164670 and her current mailing address is 2340 Dean Lake Ave Ne, Grand Rapids, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023164670.

Contact Information

Mrs Katie Fennell, LMSW
2340 Dean Lake Ave Ne,
Grand Rapids, MI 49505-4446
(616) 361-6014
(616) 361-8051

Map and Direction




Healthcare Provider's Profile

Full NameMrs Katie Fennell
GenderFemale
SpecialitySocial Worker - Clinical
Location2340 Dean Lake Ave Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023164670
  • Provider Enumeration Date: 01/26/2007
  • Last Update Date: 06/22/2015

Medical Identifiers

Medical identifiers for Mrs Katie Fennell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023164670NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 6801090673 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Katie Fennell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Katie Fennell, LMSW
2340 Dean Lake Ave Ne,
Grand Rapids, MI 49505-4446

Ph: (616) 361-6014
Mrs Katie Fennell, LMSW
2340 Dean Lake Ave Ne,
Grand Rapids, MI 49505-4446

Ph: (616) 361-6014

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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