Kelly Jo Powell-Wiley, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801093908 Issued in MI

Practice address

8891 Harding Ave
Farwell, MI 48622-9758

Phone

(989) 429-8990

NPI assigned

Aug 12, 2015

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

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

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 and National Provider Directory roles.

• Community Mental Health for Central Michigan

  • Psychiatry Physician
  • Mt Pleasant, MI
  • NPI 1881622892
  Medicare reassignment
• Community Mental Health for Central Michigan

  • Psychiatry Physician
  • Mt Pleasant, MI
  • NPI 1609412840
  NPD

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1346616489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8891 HARDING AVE",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229758",
            "telephone_number": "989-429-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8891 HARDING AVE",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229758",
            "telephone_number": "989-429-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL-WILEY",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lewandowski
• Becky Ann Macblain, RPH
• Pennie Kathaleen Marshall, LPN
• Mymichigan Medical Center Clare
• Ann Marie Phillips
• Premier Imaging Group, LLC
• Colleen S Quesada, DMD
• Krystal Elizabeth Rainwater-Baker, LCSW/LMSW-C
• Amanda Lynn Ransom, RPH.
• Barbara Richmond

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.