Kelly Lynn O'Brien, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801105544 Issued in MI

Practice address

13560 Davisburg Rd
Davisburg, MI 48350-2314

Phone

(248) 222-4048

NPI assigned

Aug 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Antoinette Peterson, LLCGroup PAC ID 3072651835, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Antoinette Peterson,LLC

  • Clinical Social Worker
  • Highland, MI
  • NPI 1194050914
  Medicare reassignment Care Compare group NPD
• Karen Gallagher LMSW Acsw Professional Counseling SRVS LLC

  • Clinical Social Worker
  • Okemos, MI
  • NPI 1578717245
  Medicare reassignment NPD
• Meadowlark Therapies PLLC

  • Social Worker
  • Davisburg, MI
  • NPI 1275357972
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1043734783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13560 DAVISBURG RD",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483502314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13560 DAVISBURG RD",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483502314",
            "telephone_number": "248-222-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Horizons Rehabilitation Services, Inc
• Nicole Rye DO PLLC
• Virginia M Nobles
• North Oakland Family Medical, PC
• Northend Counseling LLC
• Opdyke Diagnostic Center PLC
• Passport Homecare, Inc
• Akshar Patel, PHARMD
• Pine Knob Pharmacy #5
• Pine Knob Pharmacy 5 Inc

• Clinical Social Worker in Davisburg, MI
• Providers in Davisburg, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.