Individual provider Active NPI

Kehly Laurren Rashada, MSW, LMSW

  • Social Worker
  • Wayne, MI
National Provider Identifier
1275867574
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801091082 Issued in MI
Practice address
3001 4TH St
Wayne, MI 48184-1358
Phone
(734) 419-2200
NPI assigned
Sep 21, 2009
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801091082 MI Primary
Clinical Social Worker 1041C0700X 6801091082 MI

Addresses

Primary practice location

3001 4TH St
Wayne, MI 48184-1358

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

17336 Pershing St
Livonia, MI 48152-3823
Phone (313) 485-1851

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksyrkett2971190@epic00.corewelldirect.org

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
I20150515001264 MI Practitioner - Clinical Social Worker 2668792540 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091082MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Apr 6, 2024 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Jun 8, 2023 Accepting new patients
Ellie Mental Health Live Authentic PLLC CurrentSince Jun 1, 2024 Accepting new patients
The Brutwood Group LLC Clinical CurrentSince Sep 1, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

17940 Farmington Rd
Ste 302
Livonia, MI 48152
Phone (248) 296-5905

39000 7 Mile Rd
Ste 2300
Livonia, MI 48152
Phone (734) 252-8589

41800 W 11 Mile Rd
Ste 110
Novi, MI 48375
Phone (877) 693-5543

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Interoperability endpoints

  • Direct secure messaging: ksyrkett2971190@epic00.corewelldirect.org

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, 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": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1275867574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 4TH ST",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841358",
            "telephone_number": "734-419-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17336 Pershing St",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481523823",
            "country_code": "US",
            "telephone_number": "313-485-1851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASHADA",
        "first_name": "KEHLY",
        "middle_name": "LAURREN",
        "credential": "MSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801091082",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksyrkett2971190@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "3001 4th St",
            "city": "Wayne",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481841358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

Verify at the official NPI Registry.