Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cassandra Lyn Fairbotham, LMSW

Individual provider Clinical Social Worker · NPI 1598447732

Cassandra Lyn Fairbotham, LMSW is a Clinical Social Worker in Holland, Michigan. Qualified in 2023, 3 years ago. Practices with Michigan Wellness Services LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

650 S Waverly Rd
Holland, MI 49423-9121
Phone: (616) 591-9000
Fax: (616) 432-3059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801120796 (MI)

Record details

NPI number1598447732
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorYes
NPI enumeratedAugust 7, 2023
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Michigan Wellness Services Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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