Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASSANDRA LYN FAIRBOTHAM, LMSW
Active Sole ProprietorCASSANDRA LYN FAIRBOTHAM, LMSW is a Clinical Social Worker healthcare provider located in HOLLAND, Michigan. NPI 1598447732 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · HOLLAND, MI
Registration Details
- NPI Number
- 1598447732
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2023 (3.0373638186434 yrs)
- Last Updated
- Nov 7, 2025
- License
-
6801120796 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 S WAVERLY RDHOLLAND, MI, 494239121Browse MI providers · Browse ZIP 49423
- Phone
- 6165919000
- Fax
- 6164323059
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in HOLLAND, MI
| Name | Credential | NPI |
|---|---|---|
| MR. KERRIE MURPHY | LMSW | 1538116918 |
| CRISELDA BAZAN | LMSW | 1487691358 |
| PATRICIA J HOVING | LMSW | 1619916814 |
| VICTORIA BERGHUIS | LMSW | 1598786824 |
| ROBERT M MATYAS | LMSW | 1912920190 |
| DAVID JAMES MARANKA | LMSW | 1760405914 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.