Active NPI
Kyle Douglas Neely, LLMSW
- Social Worker
- Plymouth, MI
National Provider Identifier
1740744648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801102999
- Practice address
- 575 S Main St Ste 6
Plymouth, MI 48170-1778 - Phone
- (734) 451-7800
- Fax
- (734) 451-5410
- NPI assigned
- Jan 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801102999 | MI | Primary |
Addresses
Primary practice location
575 S Main St Ste 6
Plymouth, MI 48170-1778
Mailing address
398 N Sheldon Rd
Plymouth, MI 48170-1032
Phone (734) 355-3010
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6555 W Maple Rd
West Bloomfield, MI 48322-4926
Phone (248) 592-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801102999 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service | Current | Accepting new patients |
Locations
6555 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 592-2300
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counseling Psychologist
- West Bloomfield, MI
- NPI 1699767533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1740744648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 N SHELDON RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701032",
"telephone_number": "734-355-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 S MAIN ST STE 6",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701778",
"telephone_number": "734-451-7800",
"fax_number": "734-451-5410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELY",
"first_name": "KYLE",
"middle_name": "DOUGLAS",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801102999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.