Nicole Kallgren, LLBSW, CMHP
Individual provider Active NPI Social Worker · Flint, MI
NPI 1629583141 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1629583141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6851109428 (MI)
- Practice address
- G3169 Beecher Rd
Flint, MI 48532-3611 - Phone
- (810) 237-0799
- Fax
- (810) 234-0953
- NPI assigned
- Dec 6, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851109428 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consumer Services, Inc. | Clinical | Past |
Accepting new patients |
| Balanced Restoration Services, LLC | Past |
Accepting new patients | |
| Fenton Therapy Services LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851109428 | MI | Yes |
Addresses
Primary practice location
G3169 Beecher Rd
Flint, MI 48532-3611
Mailing address
PO Box 289
Mason, MI 48854-0289
Phone (517) 676-5405
Other practice location 1
4413 Corunna Rd
Flint, MI 48532-4321
Phone (810) 733-5735
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.