Sheila Ann Kelly, L.M.S.W., A.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801063115 Issued in MI

Practice address

901 Chippewa St
Flint, MI 48503-1570

Phone

(810) 232-9950

Fax

(810) 232-9110

NPI assigned

Sep 28, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Catholic Charities of Shiawassee and Genesee Counties

  • Mental Health Counselor
  • Owosso, MI
  • NPI 1689155590
  NPD (past)
• Catholic Charities of Shiawassee and Genesee Counties

  • Mental Health Counselor
  • Owosso, MI
  • NPI 1801819149
  NPD (past)

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206835200000",
    "number": "1770770158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CHIPPEWA ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031570",
            "telephone_number": "810-232-9950",
            "fax_number": "810-232-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CHIPPEWA ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031570",
            "telephone_number": "810-232-9950",
            "fax_number": "810-232-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W., A.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2008-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "595693",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Kelly
• India Kelly
• Natacha Kelly
• Rochelle Marie Kelly, CHW
• Sarah Kelly, PA-C
• Matthew Kelsey
• Rusty Joe Kelsey, CPRM-M
• Brianna Kemp, PA-C
• Mackenzie Kemper
• Lynn Kemter

• Clinical Social Worker in Flint, MI
• Providers in Flint, 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 Mar 30, 2008; 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.