Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kim Ann Fatato, LMSW

Individual provider Clinical Social Worker · NPI 1477764660

Kim Ann Fatato, LMSW is a Clinical Social Worker in Portage, Michigan. Qualified in 2002, 24 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2007
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

4539 Pinefield Ave
Portage, MI 49024-3021
Phone: (269) 209-2491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 335 Carpenter Dr, Battle Creek, MI 49017-9712 — (269) 962-4414

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801087444 (MI)

Record details

NPI number1477764660
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedMay 27, 2007
Last updated in NPPESNovember 10, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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