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MR. BRENDAN NEUBECKER KELLY LMSW
NPI 1225154800
Social Worker - Clinical in Grand Rapids, MI

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment
1118 FRONT AVE NW STE 1, GRAND RAPIDS, MI 49504(616) 458-6870(616) 458-6874 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Brendan Neubecker Kelly Lmsw NPPES

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

MR. BRENDAN NEUBECKER KELLY LMSW (NPI 1225154800) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801087301) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1225154800
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BRENDAN NEUBECKER KELLYCredential: LMSW
Location Address1118 FRONT AVE NW STE 1Grand Rapids, MI 49504
Mailing Address1118 Front Ave Nw Ste 1Grand Rapids, MI 49504-7513 · (616) 458-6870 · Fax (616) 458-6874
Phone(616) 458-6870
Fax(616) 458-6874
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 22, 2007
Last NPPES UpdateFebruary 25, 2019
✔ NPI 1225154800 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 · 6801087301
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.
1118 FRONT AVE NW STE 1, Grand Rapids, MI 49504
Open in Google Maps ↗

Other Identifiers 1

Medicaid443587MI

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, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Brendan Neubecker Kelly Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860590114
PECOS Enrollment IDI20070611000009
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 49504 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

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

AMY ELIZABETH TOUW-BISHOP LMSW
Social Worker (Clinical)
1118 FRONT AVE NW STE 1
GRAND RAPIDS, MI 49504
Kent County (616) 458-6870

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 Brendan Kelly's NPI number?

The NPI number for Brendan Kelly is 1225154800. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Brendan Kelly located?

Brendan Kelly practices at 1118 Front Ave NW Ste 1, Grand Rapids, MI 49504. The listed phone number is (616) 458-6870.

What is Brendan Kelly's specialty?

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

Is Brendan Kelly enrolled in Medicare?

Yes. Brendan Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brendan Kelly accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Brendan Kelly 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 Brendan Kelly was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.