Karyn A. Mackenzie Fajardo, LCSW, LICSW
NPI 1154445062ActiveIndividual· Social Worker, Clinical· Peoria, AZ
Social Worker, Clinical (LCSW, LICSW) in Peoria, Arizona, licensed in AZ and WA, with an NPI issued in March 2007. Medicare paid $13,447 for services to 12 patients in 2024.
Overview
| NPI | 1154445062 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, LICSW |
| Sole proprietor | Yes |
| NPI issued | Mar 17, 2007 |
| Last updated in NPPES | Feb 12, 2026 |
| Certified by provider | Mar 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW-16710 | AZ |
| Massage Therapist | 225700000X | MT-26440 | AZ |
| Massage Therapist | 225700000X | MA-00020322 | WA |
| Social Worker, Clinical | 1041C0700X | LW60294108 | WA |
| Acupuncturist | 171100000X | LAC-012200 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 157 across 2 procedure codes |
| Paid by Medicare | $13,447 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 67 clinical social workers in Peoria · All clinical social workers in Arizona