Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELSEY ROSE LMSW
NPI 1205418290
Social Worker - Clinical in Grand Rapids, MI

Active since April 28, 2021PECOS Enrolled
300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 455-5000 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 14, 2026, Sep 6, 2023, Jul 20, 2021 and 1 more (4 updates tracked since 2021).

About Kelsey Rose Lmsw NPPES

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

KELSEY ROSE LMSW (NPI 1205418290) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801116626) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1205418290
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELSEY ROSECredential: LMSW
Location Address300 68TH ST SEGrand Rapids, MI 49548-6927
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Sole ProprietorNo
Enumeration DateApril 28, 2021
Last NPPES UpdateSeptember 14, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1205418290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801116626
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X · License 6801110364 (MI)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
300 68TH ST SE, Grand Rapids, MI 49548

Secondary Practice Location 1

Location 13300 36th St SEGrand Rapids, MI 49512-2810 · Phone (616) 942-2110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Rose Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49548 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Behavior Analyst
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Counselor (Mental Health)
300 68TH ST SE
GRAND RAPIDS, MI 49548

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 Kelsey Rose's NPI number?

The NPI number for Kelsey Rose is 1205418290. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Kelsey Rose located?

Kelsey Rose practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 455-5000.

What is Kelsey Rose's specialty?

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

Is Kelsey Rose enrolled in Medicare?

Yes. Kelsey Rose is registered in the Medicare PECOS enrollment system.

What insurance does Kelsey Rose accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kelsey Rose 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 Kelsey Rose was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.