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MR. KELLY MICHAEL BASSHAM LMSW
NPI 1023363488
Social Worker - Clinical in Birmingham, MI

Active since July 20, 2012
200 ELM ST STE 200D, BIRMINGHAM, MI 48009(248) 986-2991(248) 294-1237 Get Directions Write a Review

NPPES record last updated: September 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kelly Michael Bassham Lmsw NPPES

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

MR. KELLY MICHAEL BASSHAM LMSW (NPI 1023363488) is an individual clinical provider in Birmingham, Michigan, licensed in Michigan (6801090908) and active in the NPI registry since July 2012. He maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1023363488
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KELLY MICHAEL BASSHAMCredential: LMSW
Location Address200 ELM ST STE 200DBirmingham, MI 48009-6322
Mailing Address200 Elm St Ste 200dBirmingham, MI 48009-6322 · (248) 986-2991 · Fax (248) 294-1237
Phone(248) 986-2991
Fax(248) 294-1237
Sole ProprietorYes
Enumeration DateJuly 20, 2012
Last NPPES UpdateSeptember 5, 2021
NPPES CertifiedSeptember 5, 2021
✔ NPI 1023363488 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 · 6801090908
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.
200 ELM ST STE 200D, Birmingham, MI 48009
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Secondary Practice Location 1

Location 12977 West Grand BlvdDetroit, MI 48202 · Phone (313) 916-8158

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Other Providers at the Same Location NPPES

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

BASSHAMDBT LLC
Social Worker (Clinical)
200 ELM ST STE 200D
BIRMINGHAM, MI 48009
Oakland County (248) 986-2991

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 Bassham's NPI number?

The NPI number for Kelly Bassham is 1023363488. It was assigned to this individual provider in the NPPES registry on July 20, 2012.

Where is Kelly Bassham located?

Kelly Bassham practices at 200 Elm St Ste 200D, Birmingham, MI 48009. The listed phone number is (248) 986-2991.

What is Kelly Bassham's specialty?

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

What insurance does Kelly Bassham accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kelly Bassham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Bassham was last updated on September 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.