Jennifer Kelley-Preis, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6841110746 Issued in MI

Practice address

1465 Pipestone Rd
Benton Harbor, MI 49022-2116

Phone

(269) 944-9274

NPI assigned

Jan 24, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bridges of Courage Counseling, LLC

  • Clinical Social Worker
  • Benton Harbor, MI
  • NPI 1326404070
  NPD (past)

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1396497152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 PIPESTONE RD",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222116",
            "telephone_number": "269-944-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 PIPESTONE RD",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222116",
            "telephone_number": "269-944-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY-PREIS",
        "first_name": "JENNIFER",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6841110746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Lynn Joshua, BCBA
• James L Jump Jr., MSW
• K&L Transport
• Tyler Karnes, M.A., TLLP
• Amber Dawn Karrels, LLMSW
• Delasandra Kelly, LLBSW
• Madelyn Nicole Kelly
• Tiffany Kemp
• Shelley Kennedy, LMSW
• Margarethe Kerlin, MSW

• Social Worker in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.