Individual provider Active NPI

Kelly Touchtone, LLMSW

  • Clinical Social Worker
  • Three Rivers, MI
National Provider Identifier
1467029306
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801100538 Issued in MI
Practice address
1519 N Main St Ste C
Three Rivers, MI 49093-1377
Phone
(269) 273-2024
Fax
(269) 273-3191
NPI assigned
Jun 9, 2021
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801100538 MI Primary

Addresses

Primary practice location

1519 N Main St Ste C
Three Rivers, MI 49093-1377

Mailing address

1519 N Main St Ste C
Three Rivers, MI 49093-1377
Phone (269) 273-2024

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221019000999 MI Practitioner - Clinical Social Worker 9931575792 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801100538MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Wellness Center LLC CurrentSince Jul 19, 2022 Accepting new patients
Christopher L. Barnes, PLLC CurrentSince Jun 15, 2021 Accepting new patients

Locations

1519 N Main St
Ste C
Three Rivers, MI 49093
Phone (269) 273-2024

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1467029306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 N MAIN ST STE C",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931377",
            "telephone_number": "269-273-2024",
            "fax_number": "269-273-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 N MAIN ST STE C",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931377",
            "telephone_number": "269-273-2024",
            "fax_number": "269-273-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUCHTONE",
        "first_name": "KELLY",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, MI

Sources for this page

Verify at the official NPI Registry.