MRS. KELLY KATHLEEN MCKISSICK BS, LBSW
NPI 1013034024
Social Worker - Clinical in Detroit, MI

Active since March 23, 2007
1423 FIELD ST, DETROIT, MI 48214(313) 924-7860(313) 924-0350 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kelly Kathleen Mckissick Bs, Lbsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY KATHLEEN MCKISSICK BS, LBSW (NPI 1013034024) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6802069352) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1013034024
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KELLY KATHLEEN MCKISSICKCredential: BS, LBSW
Location Address1423 FIELD STDetroit, MI 48214-2321
Mailing Address1423 Field StDetroit, MI 48214-2321 · (313) 924-7860 · Fax (313) 924-0350
Fax(313) 924-0350
Sole ProprietorYes
Enumeration DateMarch 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1013034024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6802069352
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1423 FIELD ST, Detroit, MI 48214

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1423 FIELD ST
DETROIT, MI 48214
Social Worker
1423 FIELD ST
DETROIT, MI 48214
Case Management
1423 FIELD ST
DETROIT, MI 48214
Technician/Technologist
1423 FIELD ST
DETROIT, MI 48214
Social Worker
1423 FIELD ST
DETROIT, MI 48214
Peer Specialist
1423 FIELD ST
DETROIT, MI 48214
Technician/Technologist
1423 FIELD ST
DETROIT, MI 48214
Student in an Organized Health Care Education/Training Program
1423 FIELD ST
DETROIT, MI 48214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mckissick's NPI number?

The NPI number for Kelly Mckissick is 1013034024. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Kelly Mckissick located?

Kelly Mckissick practices at 1423 Field St, Detroit, MI 48214. The listed phone number is (313) 924-7860.

What is Kelly Mckissick's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelly Mckissick was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.