Mary Kelly LMSW LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

MARY KELLY LMSW LLC

Practice address

2548 County Road 550
Marquette, MI 49855-9743

Phone

(989) 930-7527

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Mae Kelly, L.M.S.W.

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1174953095
  Medicare reassignment NPD

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1396581237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 COUNTY ROAD 550",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559743",
            "telephone_number": "989-930-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY KELLY LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9797"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquettw GNRL Hsptl Inc
• Christine Renee' Martin, LMSW
• Gabrielle Martin
• Jeremy Bryce Martin
• Amy Martyanov, M.D.
• Tiffany Mason
• Thomas John Massie, MD
• Emily K Masterson, EMT-B
• Barb Maszlewski, P.A.
• Kirk W Matthews, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.