Individual provider Active NPI

Kelly Soley, L.M.S.W

  • Social Worker
  • Detroit, MI
National Provider Identifier
1356692610
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801095449 Issued in MI
Practice address
11000 W McNichols Rd Ste 3231277
Detroit, MI 48221-2357
Phone
(810) 410-1437
NPI assigned
Sep 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801095449 MI Primary

Addresses

Primary practice location

11000 W McNichols Rd Ste 3231277
Detroit, MI 48221-2357

Mailing address

11000 W McNichols Rd Ste 3231277
Detroit, MI 48221-2357
Phone (810) 410-1437

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kelly@relationalwellnessdetroit.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Natures Playhouse Ferndale LLC Social Worker Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1356692610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 W MCNICHOLS RD STE 3231277",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212357",
            "telephone_number": "810-410-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 W MCNICHOLS RD STE 3231277",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212357",
            "telephone_number": "810-410-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLEY",
        "first_name": "KELLY",
        "credential": "L.M.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801095449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kelly@relationalwellnessdetroit.com",
            "affiliation": "N",
            "address_1": "21808 Lakeshire St",
            "city": "Saint Clair Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480812862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.