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

MS. Karyn A Mackenzie Fajardo, LCSW, LICSW

Individual provider Massage Therapist · NPI 1154445062

MS. Karyn A Mackenzie Fajardo, LCSW, LICSW is a Clinical Social Worker in Peoria, Arizona. Qualified in 2008, 18 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona and Washington.

Years since qualifying
18
Licensed in
AZ, WA
In the registry since
2007
Specialties on file
5
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

8715 W Union Hills Dr Ste 111
Peoria, AZ 85382-3031
Phone: (425) 233-1732
Fax: (623) 248-7737
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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 LCSW-16710 (AZ)
Massage Therapist Taxonomy 225700000X · Licence MT-26440 (AZ)
Massage Therapist Taxonomy 225700000X · Licence MA-00020322 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW60294108 (WA)
Acupuncturist Taxonomy 171100000X · Licence LAC-012200 (AZ)

Record details

NPI number1154445062
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LICSW
Sole proprietorYes
NPI enumeratedMarch 17, 2007
Last updated in NPPESFebruary 12, 2026
Certification dateMarch 7, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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