Kelly a Grocoff LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KELLY A GROCOFF LLC

Doing business as

Casselman Wellness Center

Practice address

122 S Main St Ste 360a
Ann Arbor, MI 48104-1932

Phone

(734) 926-5366

NPI assigned

Mar 25, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Grocoff, LMSW

Title

Owner

Phone

(734) 272-5813

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Casselman Wellness Center Doing business as

Locations

Practitioners 1

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

• Kari Mapes

  • Professional Counselor
  • Ann Arbor, MI
  • NPI 1598430266
  NPD

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1497382857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST STE 360A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041932",
            "telephone_number": "734-926-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST STE 360A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041932",
            "telephone_number": "734-926-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY A GROCOFF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "GROCOFF",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-272-5813",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "P140669",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casselman Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darby Reece Kellogg, PA-S
• Kimberly Ann Kellogg, NP
• Ruth Natalie Kellogg, PA C
• Sheila Anne Kellogg, CRNA
• Marilyn Doermann Kellum
• Aine Marie Kelly, MB, BCH, BAO
• Andrea Lyn Kelly, DPT
• Brian M Kelly, DO
• Jack E Kelly, PT, DPT
• Kazia Ann Kelly, MSW

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.