Cheri Ann Fair

Individual provider Active NPI Clinical Social Worker · Gregory, MI

NPI 1548061856 · NPPES record last updated Mar 22, 2025

Key facts

NPI
1548061856
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801057228 (MI)
Practice address
222 Ellsworth Lake Dr
Gregory, MI 48137-9654
Phone
(734) 277-7052
NPI assigned
Mar 22, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6801057228MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amani Life Counseling, LLC Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801057228 MI Yes

Addresses

Primary practice location

222 Ellsworth Lake Dr
Gregory, MI 48137-9654

Mailing address

222 Ellsworth Lake Dr
Gregory, MI 48137-9654
Phone (734) 277-7052

Other providers in Gregory, MI

All providers in Gregory, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.