Individual provider Active NPI

Sydney Michelle Kay, LMSW

  • Clinical Social Worker
  • Jackson, MI
National Provider Identifier
1639723653
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801117492 Issued in MI
Practice address
330 W Michigan Ave
Jackson, MI 49201-2121
Phone
(517) 787-7920
NPI assigned
Jul 29, 2019
Last updated
Dec 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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 6801117492 MI Primary

Addresses

Primary practice location

330 W Michigan Ave
Jackson, MI 49201-2121

Mailing address

3003 E Michigan Ave # 1260
Lansing, MI 48912-4616

Other practice location 1

420 S Walnut St apt 223
Lansing, MI 48933-2011
Phone (937) 344-6077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 N W Ave
Jackson, MI 49202-2179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801117492MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson-Hillsdale Community Mental Health Board CurrentSince Oct 18, 2025 Accepting new patients
Jackson-Hillsdale Community Mental Health Board CurrentSince Oct 18, 2025 Accepting new patients
Family Service and Childrens Aid Past Accepting new patients

Locations

1200 N West Ave
Jackson, MI 49202
Phone (517) 789-1200

330 W Michigan Ave
Jackson, MI 49201
Phone (517) 706-7994

Organizations & group practices 3

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": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1639723653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 E MICHIGAN AVE # 1260",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012121",
            "telephone_number": "517-787-7920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 S Walnut St apt 223",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489332011",
            "country_code": "US",
            "telephone_number": "937-344-6077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAY",
        "first_name": "SYDNEY",
        "middle_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.