Individual provider Active NPI

Kellie Crowell Bowen, LMSW

  • Clinical Social Worker
  • Muskegon, MI
National Provider Identifier
1851048060
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121799 Issued in MI
Practice address
794 Pine St Ste 230-T
Muskegon, MI 49442-1020
Phone
(616) 295-8284
Fax
(616) 834-0446
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801121799 MI Primary

Addresses

Primary practice location

794 Pine St Ste 230-T
Muskegon, MI 49442-1020

Mailing address

964 W Laketon Ave
Muskegon, MI 49441-2967
Phone (231) 286-0904

Other practice location 1

964 W Laketon Ave
Muskegon, MI 49441-2967
Phone (231) 286-0904

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
I20260526000300 MI Practitioner - Clinical Social Worker 6305316936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

503 Century LN
Suite 2
Holland, MI 49423-4318

528 Hampton LN NW Apt
2B
Grand Rapids, MI 49534-7808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope & Wholeness Psychology Center, LLC CurrentSince May 6, 2026 Accepting new patients

Locations

503 Century Ln
Ste 2
Holland, MI 49423
Phone (616) 295-8284

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.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1851048060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 W LAKETON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412967",
            "telephone_number": "231-286-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 PINE ST STE 230-T",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421020",
            "telephone_number": "616-295-8284",
            "fax_number": "616-834-0446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "964 W Laketon Ave",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494412967",
            "country_code": "US",
            "telephone_number": "231-286-0904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "KELLIE",
        "middle_name": "CROWELL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.