Individual provider Active NPI

Kelly Marie Rad, LMSW

  • Clinical Social Worker
  • Brighton, MI
National Provider Identifier
1831520097
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851109593 Issued in MI
Practice address
10524 Grand River Rd Ste 111
Brighton, MI 48116-9559
Phone
(517) 375-1537
NPI assigned
Dec 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 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 6851109593 MI Primary

Addresses

Primary practice location

10524 Grand River Rd Ste 111
Brighton, MI 48116-9559

Mailing address

10524 Grand River Rd Ste 111
Brighton, MI 48116-9559
Phone (517) 375-1537

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630003422 MI Practitioner - Clinical Social Worker 4082015870 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851109593MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Center for Anxiety LLC Clinical CurrentSince Aug 25, 2025 Accepting new patients

Locations

10524 Grand River Rd
Ste 111
Brighton, MI 48116
Phone (517) 375-1537

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1831520097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10524 GRAND RIVER RD STE 111",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169559",
            "telephone_number": "517-375-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 GRAND RIVER RD STE 111",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169559",
            "telephone_number": "517-375-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAD",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851109593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.