Individual provider Active NPI

Kelly Scott Coleman, LMSW-C, MSW, CAADC

  • Clinical Social Worker
  • Bay City, MI
National Provider Identifier
1194307389
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801120277 Issued in MI
Practice address
1009 Washington Ave
Bay City, MI 48708-5705
Phone
(989) 928-3566
NPI assigned
Apr 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MI
Clinical Social Worker 1041C0700X 6851109700 MI
Clinical Social Worker 1041C0700X 6801120277 MI Primary

Addresses

Primary practice location

1009 Washington Ave
Bay City, MI 48708-5705

Mailing address

1020 N 26TH St
Saginaw, MI 48601-6115
Phone (989) 529-4000

Other practice location 1

3253 Congress Ave
Saginaw, MI 48602-3106
Phone (989) 475-4171

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
I20250807000485 MI Practitioner - Clinical Social Worker 2466950795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Pathways LLCGroup PAC ID 3971792326, 9 clinicians

Practice addresses (Care Compare)

1009 Washington Ave
Bay City, MI 48708-5705
Phone (989) 928-3566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801120277MIMDClinical Social Worker
6851109700MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Pathways, LLC PastSince Jul 9, 2023 Accepting new patients
Recovery Pathways, LLC Past Accepting new patients
Recovery Pathways, LLC PastSince Jul 9, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: recoverypathways.kellycoleman@146773.advancedmd-direct.com

Organizations & group practices 4

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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1194307389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N 26TH ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486016115",
            "telephone_number": "989-529-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 WASHINGTON AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085705",
            "telephone_number": "989-928-3566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3253 Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486023106",
            "country_code": "US",
            "telephone_number": "989-475-4171",
            "fax_number": "989-393-6021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "KELLY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LMSW-C, MSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851109700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.