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

KACIE DANIELLE BERTHELOT LMSW
NPI 1265917686
Social Worker - Clinical in Traverse City, MI

Active since October 02, 2018
2240 W SOUTH AIRPORT RD., SUITE B, TRAVERSE CITY, MI 49684(231) 570-0627(231) 943-1032 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 15, 2026, Oct 2, 2018 (2 updates tracked since 2018).

About Kacie Danielle Berthelot Lmsw NPPES

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

KACIE DANIELLE BERTHELOT LMSW (NPI 1265917686) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (6801103431) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1265917686
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKACIE DANIELLE BERTHELOTCredential: LMSW
Location Address2240 W SOUTH AIRPORT RD., SUITE BTraverse City, MI 49684
Mailing Address2601 N Cresthaven Ave Apt F107Springfield, MO 65803-7719
Phone(231) 570-0627
Fax(231) 943-1032
Sole ProprietorNo
Enumeration DateOctober 2, 2018
Last NPPES UpdateOctober 15, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1265917686 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 · 6801103431
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.
2240 W SOUTH AIRPORT RD., Traverse City, MI 49684
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Other Names 1

Other Name (5)Mrs. Kacie Danielle Berthelot Llmsw

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 Kacie Berthelot's NPI number?

The NPI number for Kacie Berthelot is 1265917686. It was assigned to this individual provider in the NPPES registry on October 2, 2018. The provider is also known as Mrs. Kacie Danielle Berthelot Llmsw.

Where is Kacie Berthelot located?

Kacie Berthelot practices at 2240 W South Airport Rd. Suite B, Traverse City, MI 49684. The listed phone number is (231) 570-0627.

What is Kacie Berthelot'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 Kacie Berthelot was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.