Individual provider Active NPI

Kelle Lyn Brooks, LMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1023498375
Registry record updated Feb 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098007 Issued in MI
Practice address
1090 N 10TH St Ste 115
Kalamazoo, MI 49009-5733
Phone
(269) 615-8044
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801098007 MI Primary

Addresses

Primary practice location

1090 N 10TH St Ste 115
Kalamazoo, MI 49009-5733

Mailing address

1090 N 10TH St Ste 115
Kalamazoo, MI 49009-5733
Phone (269) 615-8044

Other practice location 1

6963 W Kl Ave Ste B
Kalamazoo, MI 49009-8043
Phone (269) 615-8044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002002980 MI Practitioner - Clinical Social Worker 9931451952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diane M KanousGroup PAC ID 0143389031, 6 clinicians

Practice addresses (Care Compare)

1090 N 10TH St
Suite 115
Kalamazoo, MI 49009-5733
Phone (269) 615-8044

6963 W KL Ave B
Kanous and Associates Counseling PLC
Kalamazoo, MI 49009-8043
Phone (269) 544-7720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098007MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brooks Counseling and Wellness Clinical CurrentSince Feb 17, 2025 Accepting new patients
Diane M Kanous CurrentSince Sep 17, 2018 Accepting new patients
Dorman and Associates PLC PastSince Sep 17, 2018 Accepting new patients

Locations

1090 N 10th St
Ste 115
Kalamazoo, MI 49009
Phone (269) 615-8044

6963 W Kl Ave
#B
Kalamazoo, MI 49009
Phone (269) 544-7720

3030 S 9th St
Ste 3E
Kalamazoo, MI 49009
Phone (269) 544-7720

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1023498375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 N 10TH ST STE 115",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095733",
            "telephone_number": "269-615-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 N 10TH ST STE 115",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095733",
            "telephone_number": "269-615-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6963 W Kl Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490098043",
            "country_code": "US",
            "telephone_number": "269-615-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KELLE",
        "middle_name": "LYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.