Individual provider Active NPI

Kelley Anne Bearer-York, LLMSW

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1255099065
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851113929 Issued in MI
Practice address
1295 S Linden Rd Ste F
Flint, MI 48532-3498
Phone
(810) 406-0006
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851113929 MI Primary

Addresses

Primary practice location

1295 S Linden Rd Ste F
Flint, MI 48532-3498

Mailing address

1295 S Linden Rd Ste F
Flint, MI 48532-3498
Phone (810) 406-0006

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbearer@sollarsassociates.com Direct Sollars and Associates

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

LicenseStateTypeSpecialty
6851113929MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1255099065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 S LINDEN RD STE F",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323498",
            "telephone_number": "810-406-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 S LINDEN RD STE F",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323498",
            "telephone_number": "810-406-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARER-YORK",
        "first_name": "KELLEY",
        "middle_name": "ANNE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851113929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbearer@sollarsassociates.com",
            "affiliation": "Y",
            "endpointDescription": "Business email",
            "affiliationName": "Sollars and Associates",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business email",
            "address_1": "1777 Axtell Dr",
            "address_2": "Suite 100",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480844404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.