Kelly Edwina Nicole Craig

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851121095 Issued in MI

Practice address

15560 Joy Rd
Detroit, MI 48228-8200

Phone

(313) 590-1688

NPI assigned

Oct 29, 2025

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1336017490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29565 THOMAS CIR",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412812",
            "telephone_number": "313-590-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15560 JOY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482288200",
            "telephone_number": "313-590-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "KELLY",
        "middle_name": "EDWINA NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851121095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon R Craig, AU.D.
• Eugene Ronald Craig, PH.D.
• John Robert Craig, MD
• Joseph G. Craig, M.D.
• Justin Michael Craig, MD, PHD
• Stephen Andrew Craig, MD
• Earnell Craighead III
• Kimberley Craighead
• Autumn Grace Cram
• Cassondra Cramer-Bour, M.D.

• Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.