Kelli Wilkinson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088398 Issued in MI

Practice address

135 Washington Ave
Bay City, MI 48708-5845

Phone

(989) 895-2322

NPI assigned

Nov 21, 2013

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelli Rae Maciag Former name

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay-Arenac Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bay City, MI
  • NPI 1154439438
  Medicare reassignment
• Stephanie a Haynes LLC

  • Mental Health Counselor
  • Bay City, MI
  • NPI 1184581795
  NPD (past)

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1598195992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WASHINGTON AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WASHINGTON AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085845",
            "telephone_number": "989-895-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "KELLI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "MACIAG",
            "middle_name": "RAE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Marie Wierzbicki
• Kayla Jean Wieszczecinski
• Linda Wieszczecinski, RPH
• Judy Lee Wilcox, M.A, L.P.C.
• Rosanne Kay Wild, MSW
• McKenzie Wilkinson, NP
• Leanne Nicole Willard, DNP
• William C. Martin MD PC
• Jamie Williams-Burke, NP
• Anayah Williams

• Clinical Social Worker in Bay City, MI
• Providers in Bay City, 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 Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.