Kelli Ann Watkins, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801092963 Issued in MI

Practice address

136 E Maumee St Ste 8
Adrian, MI 49221-2724

Phone

(517) 438-8144

Fax

(517) 438-8195

NPI assigned

Aug 17, 2011

Last updated

Mar 17, 2018By the provider in NPPES

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

• Mrs. Kelli Ann Mitchell 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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Hope Counseling

  • Community/Behavioral Health Agency
  • Hudson, MI
  • NPI 1275804684
  NPD
• Life IV Therapy PLLC

  dba Life IV Weight Loss

  • Obesity Medicine (Internal Medicine) Physician
  • Tecumseh, MI
  • NPI 1396563821
  NPD (past)
• Mindful Hearts Counseling

  • Community/Behavioral Health Agency
  • Hudson, MI
  • NPI 1558758938
  NPD (past)

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245510601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E MAUMEE ST STE 8",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212724",
            "telephone_number": "517-438-8144",
            "fax_number": "517-438-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E MAUMEE ST STE 8",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212724",
            "telephone_number": "517-438-8144",
            "fax_number": "517-438-8195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11636 Highland Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Hartland",
            "state": "MI",
            "postal_code": "483532728",
            "country_code": "US",
            "telephone_number": "810-991-1511",
            "fax_number": "810-991-1512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "KELLI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "MITCHELL",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angel Christina Ward
• Molly Ward, R.PH
• Michael Evan Warfield, LLPC
• Warwick Associates
• Robert J. Warwick, PH.D.
• Le'Shay Webb, LPC
• Cailin Ashton Weber
• Colleen Elizabeth Webster, RN
• Josephine C Weeden, DDS MS PC
• Sara Lynae Weidmayer, O.D., F.A.A.O.

• Clinical Social Worker in Adrian, MI
• Providers in Adrian, 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 Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.