KAISSIDY HOMOLKA LMSW
NPI 1063370385
Social Worker - Clinical in Mio, MI

Active since January 14, 2026
1110 W 8TH ST, MIO, MI 48647(989) 354-2197(989) 354-1952 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2026, Jan 14, 2026 (2 updates tracked since 2026).

About Kaissidy Homolka Lmsw NPPES

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

KAISSIDY HOMOLKA LMSW (NPI 1063370385) is an individual clinical provider in Mio, Michigan, licensed in Michigan (6851121350) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1063370385
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAISSIDY HOMOLKACredential: LMSW
Location Address1110 W 8TH STMio, MI 48647-9140
Mailing AddressPo Box 427Hillman, MI 49746-0427 · (989) 354-2197 · Fax (989) 354-1952
Fax(989) 354-1952
Sole ProprietorNo
Enumeration DateJanuary 14, 2026
Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
NPI 1063370385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6851121350
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.
Also ListedSocial WorkerTaxonomy 104100000X
1110 W 8TH ST, Mio, MI 48647

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
1110 W 8TH ST
MIO, MI 48647
Counselor (Mental Health)
1110 W 8TH ST
MIO, MI 48647
Nurse Practitioner
1110 W 8TH ST
MIO, MI 48647

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 Kaissidy Homolka's NPI number?

The NPI number for Kaissidy Homolka is 1063370385. It was assigned to this individual provider in the NPPES registry on January 14, 2026.

Where is Kaissidy Homolka located?

Kaissidy Homolka practices at 1110 W 8th St, Mio, MI 48647. The listed phone number is (989) 354-2197.

What is Kaissidy Homolka'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 Kaissidy Homolka was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.