Kelly M Kolody, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094299 Issued in MI

Practice address

24715 Glen Orchard Dr
Farmington Hills, MI 48336-1729

Phone

(586) 904-1210

Fax

(248) 741-6274

NPI assigned

Oct 8, 2012

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1316299985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 753",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483320753",
            "telephone_number": "586-904-1210",
            "fax_number": "248-741-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24715 GLEN ORCHARD DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361729",
            "telephone_number": "586-904-1210",
            "fax_number": "248-741-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODY",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Kolah
• Rachel Kolb
• Uchenna Kole-James, PHARMD
• Tamara Koll-Conklin
• Jhansi Lakshmi Kolli
• Gary Fredric Koloff, MD
• Jeannie Kologek
• Madelyn Kolosowsky
• Erin Komara
• Jack Komer

• Clinical Social Worker in Farmington Hills, MI
• Providers in Farmington Hills, 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 3, 2025; 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.