Active NPI
Shelly Lynn Kosmet, LLMSW
- Clinical Social Worker
- Port Huron, MI
National Provider Identifier
1386551851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851121091
- Practice address
- 2902 Little St
Port Huron, MI 48060-6829 - Phone
- (517) 528-0369
- NPI assigned
- Aug 27, 2026
- Last updated
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851121091 | MI | Primary |
Addresses
Primary practice location
2902 Little St
Port Huron, MI 48060-6829
Mailing address
3302 Coronet Ave
Orlando, FL 32833-5345
Phone (517) 528-0369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1386551851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 CORONET AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328335345",
"telephone_number": "517-528-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 LITTLE ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606829",
"telephone_number": "517-528-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSMET",
"first_name": "SHELLY",
"middle_name": "LYNN",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851121091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.