Kaylee Marie Nellett, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801118534 Issued in MI

Practice address

211 Michigan St
Petoskey, MI 49770-2607

Phone

(989) 751-4123

NPI assigned

Jun 3, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kaylee Kruse Mind-Body Therapy, LLC

  • Clinical Social Worker
  • Belding, MI
  • NPI 1316734783
  NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1063253268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MICHIGAN ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702607",
            "telephone_number": "989-751-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MICHIGAN ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702607",
            "telephone_number": "989-751-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELLETT",
        "first_name": "KAYLEE",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• N C Narten MD PLC
• Natalia I Rush MD PC
• Tana J Nathe
• Chelsea Navarro, P.A. C
• Andrea H Naylor, M.D.
• Katelyn M Nellis, RN
• Trevor L Nelson, DPT, PT
• Laurie Lynn Nemchak, RN
• Scott Allen Nemec, D.O.
• Peter Joseph Nemes

• Clinical Social Worker in Petoskey, MI
• Providers in Petoskey, 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 Jun 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.