Shelby Kittleson, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851114377 Issued in MI

Practice address

14800 E Old US Highway 12
Chelsea, MI 48118-2110

Phone

(734) 719-0380

NPI assigned

Sep 28, 2022

Last updated

Jul 3, 2024By the provider in NPPES

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kittleson MSW Therapy PLLC

  • Clinical Social Worker
  • Jackson, MI
  • NPI 1477431138
  NPD Authorized official
• Timber Creek Foundation

  • Clinical Psychologist
  • Chelsea, MI
  • NPI 1689437386
  NPD (past)

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1942924493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 E OLD US HIGHWAY 12",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481182110",
            "telephone_number": "734-719-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 E OLD US HIGHWAY 12",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481182110",
            "telephone_number": "734-719-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 S Huron Pkwy Ste 3D",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481045133",
            "country_code": "US",
            "telephone_number": "734-719-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Little Lake Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481036220",
            "country_code": "US",
            "telephone_number": "734-719-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITTLESON",
        "first_name": "SHELBY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Kestner
• Hanin Khatib
• Andre C King, MD
• Lorna Susan King, PT
• Janel Khalid Kishmish, OTRL
• Jonathon E Kivela, MD
• Kleanthous Family Foot Clinic, P.C.
• James Kleo Kleanthous, D.P.M.
• Chloe Michelle Knieper, MA CCC-SLP
• Paula Elaine Koch, OD

• Clinical Social Worker in Chelsea, MI
• Providers in Chelsea, 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 Jul 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.