Active NPI
Kelly Masley
- Clinical Social Worker
- Battle Creek, MI
National Provider Identifier
1184280315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801107621
- Practice address
- 140 Michigan Ave W
Battle Creek, MI 49017-3602 - Phone
- (269) 966-1460
- Fax
- (269) 966-2844
- NPI assigned
- May 13, 2019
- Last updated
- Sep 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801099125 | MI | |
| Clinical Social Worker | 1041C0700X | 6801107621 | MI | Primary |
Addresses
Primary practice location
140 Michigan Ave W
Battle Creek, MI 49017-3602
Mailing address
140 Michigan Ave W
Battle Creek, MI 49017-3602
Phone (269) 966-1460
Other practice location 1
140 Michigan Ave W
Battle Creek, MI 49017-3602
Phone (269) 966-1460
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801107621 | Other | MI | LICENSE NUMBER |
| 6801099125 | Other | MI | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801099125 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1184280315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 MICHIGAN AVE W",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173602",
"telephone_number": "269-966-1460",
"fax_number": "269-966-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 MICHIGAN AVE W",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173602",
"telephone_number": "269-966-1460",
"fax_number": "269-966-2844"
}
],
"practiceLocations": [
{
"address_1": "140 Michigan Ave W",
"address_purpose": "LOCATION",
"city": "Battle Creek",
"state": "MI",
"postal_code": "490173602",
"country_code": "US",
"telephone_number": "269-966-1460",
"fax_number": "269-966-2844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASLEY",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801099125",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801107621",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "6801107621",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "6801099125",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.