Organization Active NPI

Kittleson MSW Therapy PLLC

  • Clinical Social Worker
  • Jackson, MI
National Provider Identifier
1477431138
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KITTLESON MSW THERAPY PLLC
Practice address
1010 S Grinnell St
Jackson, MI 49203-2945
Phone
(734) 489-9893
Fax
(517) 523-3311
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Shelby Kittleson, MSWNPI 1942924493
Title
Proprietor
Phone
(734) 489-9893

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1010 S Grinnell St
Jackson, MI 49203-2945

Mailing address

1131 N Osseo Rd
Hillsdale, MI 49242-9714
Phone (517) 523-3695

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1477431138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N OSSEO RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429714",
            "telephone_number": "517-523-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S GRINNELL ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032945",
            "telephone_number": "734-489-9893",
            "fax_number": "517-523-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITTLESON MSW THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "KITTLESON",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "734-489-9893",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.