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

MS. Kelly-Ann Monique Fairweather, LMSW

Individual provider Social Worker · NPI 1275829442

MS. Kelly-Ann Monique Fairweather, LMSW is a Clinical Social Worker in Middletown, New York. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
18
Licensed in
NJ
In the registry since
2011
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

210 E Main St Ste 105
Middletown, NY 10940-4038
Phone: (845) 566-0286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SL05672000 (NJ)

Record details

NPI number1275829442
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJune 25, 2011
Last updated in NPPESJanuary 17, 2018

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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