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KELLY SUSAN DIEMOND LMSW
NPI 1407416985
Social Worker - Clinical in Grand Rapids, MI

Active since June 18, 2019
790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 855-8958 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2022, Oct 20, 2021, Jun 18, 2019 (3 updates tracked since 2019).

About Kelly Susan Diemond Lmsw NPPES

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

KELLY SUSAN DIEMOND LMSW (NPI 1407416985) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801111361) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1407416985
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY SUSAN DIEMONDCredential: LMSW
Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918
Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 855-8958
Phone(616) 855-8958
Sole ProprietorNo
Enumeration DateJune 18, 2019
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedNovember 27, 2023
✔ NPI 1407416985 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 · 6801111361
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 · License 6801104261 (MI)
790 FULLER AVE NE, Grand Rapids, MI 49503
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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.

DIANA DUARTE-MENENDEZ LMSW
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MISS JALISA SHAWTAE SMITH LLMSW
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MACKENZIE ERIN CLEGG
Behavior Analyst
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MRS. ALEITA A BROWN LLBSW
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 825-5412
ANNIKA KNOTT LMSW
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 724-6942
VIOLET RAMAGE
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (734) 493-2978
DAVID G MARSHALL LPC
Counselor (Professional)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
DAWN MARIE MACDONALD LLMSW
Social Worker
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909

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 Diemond's NPI number?

The NPI number for Kelly Diemond is 1407416985. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Kelly Diemond located?

Kelly Diemond practices at 790 Fuller Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 855-8958.

What is Kelly Diemond'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 Kelly Diemond was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.