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

Mrs. Kaitlyn Amanda Fetter, LLBSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568992956

Mrs. Kaitlyn Amanda Fetter, LLBSW is a Clinical Social Worker in Novi, Michigan. Qualified in 2018, 8 years ago. Practices with Richard Kneip PHD PC, a 243-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

30980 Westgate Blvd Apt 56
Novi, MI 48377
Phone: (810) 597-7500
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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 6801108375 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C-04077 (MI)
Social Worker Taxonomy 104100000X · Licence 6802088649 (MI)

Record details

NPI number1568992956
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLBSW
Sole proprietorNo
NPI enumeratedJune 18, 2017
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Richard Kneip Phd Pc — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Novi