Individual provider Active NPI

Mary Mae Kelly, L.M.S.W.

  • Clinical Social Worker
  • Marquette, MI
National Provider Identifier
1174953095
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091372 Issued in MI
Practice address
2548 County Road 550
Marquette, MI 49855-9743
Phone
(989) 930-7527
NPI assigned
Nov 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801091372 MI Primary
Social Worker 104100000X 6801091372 MI

Addresses

Primary practice location

2548 County Road 550
Marquette, MI 49855-9743

Mailing address

PO Box 10
Mason, MI 48854-0010

Other names 1

  • Ms. Mary Mae Bierlein Former name

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
I20150324002525 MI Practitioner - Clinical Social Worker 1456678887 Reassigns benefits to 1 organization
Practice locations: Bay City, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1513 Columbus Ave
Bay City, MI 48708-6824
Phone (989) 930-7527

2548 County Rd
Suite 550
Marquette, MI 49855-9743
Phone (989) 930-7527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091372MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Kelly LMSW LLC Social Worker CurrentSince Jul 1, 2024 Accepting new patients
Clinton County Medical Center Psychological Services PLLC Social Worker Past Accepting new patients

Locations

1513 Columbus Ave
Bay City, MI 48708
Phone (989) 778-4993

Organizations & group practices 2

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": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1174953095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 COUNTY ROAD 550",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559743",
            "telephone_number": "989-930-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARY",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091372",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801091372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BIERLEIN",
            "middle_name": "MAE",
            "prefix": "MS.",
            "credential": "L.M.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.