Active NPI
Kelli Margaret Shepard
- Clinical Social Worker
- Ferndale, MI
National Provider Identifier
1235966300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1235966300
- Practice address
- 800 Hilton Rd Ste 5
Ferndale, MI 48220-2505 - Phone
- (248) 238-8074
- NPI assigned
- Sep 13, 2024
- Last updated
- Apr 21, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1235966300 | MI | Primary |
Addresses
Primary practice location
800 Hilton Rd Ste 5
Ferndale, MI 48220-2505
Mailing address
988 S Adams Rd
Birmingham, MI 48009-7011
Phone (616) 209-9295
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1235966300 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opening New Doors LLC | Clinical | Current | Accepting new patients |
Locations
800 Hilton Rd
Ste 5
Ferndale, MI 48220
Phone (248) 238-8074
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1235966300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988 S ADAMS RD",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480097011",
"telephone_number": "616-209-9295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HILTON RD STE 5",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202505",
"telephone_number": "248-238-8074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "KELLI",
"middle_name": "MARGARET",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-13",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "1235966300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, MI
- Amy Lynn Shagena
- Himal Shah
- Ellen Sarah Shansky, LMSW
- Shawn J Wrubel, D.C PLC (Articulation Chiropractic and Rehab)
- Aaron Ray Shell
- Sherry R Scott (Time Together Adult Day Center)
- Yasmin Shkoukani
- Sibera Troy Brannon DDS (Dental Care Institute)
- Silver Linings: Integrative Care, PLLC (Silver Linings: Integrative Care)
- Emily Silver, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.