Kathryn Ally Fabian Stetler, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851119224 Issued in MI

Practice address

28345 Beck Rd Ste 305
Wixom, MI 48393-4744

Phone

(734) 408-1149

Fax

(734) 786-1252

NPI assigned

Mar 4, 2025

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2025.

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1033917299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28345 BECK RD STE 305",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483934744",
            "telephone_number": "734-408-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28345 BECK RD STE 305",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483934744",
            "telephone_number": "734-408-1149",
            "fax_number": "734-786-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN STETLER",
        "first_name": "KATHRYN",
        "middle_name": "ALLY",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851119224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wixom, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.