1. Home
  2. Directory
  3. Michigan
  4. Plymouth
  5. Social Worker
  6. NPI Profile

KELLY FORNWALT
NPI 1174821938
Social Worker in Plymouth, MI

Active since March 03, 2011
271 S MAIN ST, PLYMOUTH, MI 48170(734) 455-4095 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Fornwalt NPPES

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

KELLY FORNWALT (NPI 1174821938) is an individual social worker in Plymouth, Michigan and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1174821938
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLY FORNWALT
Location Address271 S MAIN STPlymouth, MI 48170-1637
Mailing Address271 S Main StPlymouth, MI 48170-1637
Phone(734) 455-4095
Sole ProprietorNo
Enumeration DateMarch 3, 2011
✔ NPI 1174821938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
271 S MAIN ST, Plymouth, MI 48170
Open in Google Maps ↗

Other Providers at the Same Location NPPES 12

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

GEORGE BRUCE MINOR
Counselor (Addiction (Substance Use Disorder))
271 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 495-4055
MR. DAVID JAMES ROBERTS LMSW
Social Worker (Clinical)
271 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 455-4095
JAMEELAH STRUTHERS
Social Worker (Clinical)
271 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 455-4095
NATHANIEL RECKKER
Social Worker (Clinical)
271 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 664-2634
GROWTH WORKS INC.
Case Management
271 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 455-4095
MS. JORDON NICOLE TROMBLEY MA, TLLP
Psychologist (Addiction (Substance Use Disorder))
271 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (734) 455-4095
ERIN MARY SHANNON LLMSW
Social Worker (Clinical)
271 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (989) 823-3040
KATIE LOUISE LANE-WATERS LLMSW
Social Worker
271 S MAIN ST
PLYMOUTH, MI 48170
Wayne County (248) 216-5781

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 Fornwalt's NPI number?

The NPI number for Kelly Fornwalt is 1174821938. It was assigned to this individual provider in the NPPES registry on March 3, 2011.

Where is Kelly Fornwalt located?

Kelly Fornwalt practices at 271 S Main St, Plymouth, MI 48170. The listed phone number is (734) 455-4095.

What is Kelly Fornwalt's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kelly Fornwalt was last updated on March 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.