Kahana Delore, LMSW/CAADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089095 Issued in MI

Practice address

255 Colrain St SW Ste 2
Grand Rapids, MI 49548-1013

Phone

(616) 988-1479

Fax

(616) 988-1493

NPI assigned

May 7, 2013

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

Other names 1

• Kahana Harrison Former name

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

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.

• Kent County CMH Authority

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
  • NPI 1588935068
  Medicare reassignment NPD
• Kent County CMH Authority

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
  • NPI 1194617811
  NPD

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1083059802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 DEVONWOOD HLS NE APT C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256805",
            "telephone_number": "616-581-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 COLRAIN ST SW STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495481013",
            "telephone_number": "616-988-1479",
            "fax_number": "616-988-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELORE",
        "first_name": "KAHANA",
        "credential": "LMSW/CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAHANA",
            "last_name": "HARRISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danessa Dawn Delong
• Frederick Joseph Delong IV, MA, LLPC
• Janet Rabbitt Delong, PT
• Kelly Sue Delong, LMSW
• Kendra Deloof, LLMSW
• Matthew Delost, OT
• Katheen Delp Higgins, LMSW, CGC
• Caitlin Delventhal, BSW
• Paul A Delyria, M.D.
• Megan Ann Demaagd-Rodriguez, FNP-C

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 May 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.