Margaret Adeline Fairchild, MSW, CSW
Individual provider Active NPI Clinical Social Worker · Fulton, MI
NPI 1316980873 · NPPES record last updated Jul 31, 2009
Key facts
- NPI
- 1316980873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801069928 (MI)
- Practice address
- 2221 1 Mile Rd
Fulton, MI 49052-9602 - Phone
- (269) 729-4422
- Fax
- (269) 729-4472
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801069928 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801069928 | MI | Yes |
Addresses
Primary practice location
2221 1 Mile Rd
Fulton, MI 49052-9602
Mailing address
2221 1 Mile Rd
Fulton, MI 49052-9602
Phone (269) 729-4422
Other providers in Fulton, MI
- Jerrold Brown
- Shelby Brueck
- Nicole Cole
- Jolane Sue Conklin
- Bethany Leigh Fehsenfeld
- Katherine Henley
- Heather M Kozar
- Kylie Moore
- Jesse Ryan Roder
All providers in Fulton, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.