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

KELLEY KIDWELL LLMSW
NPI 1609006840
Social Worker in Clinton Township, MI

Active since July 22, 2009PECOS Enrolled
16200 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 416-2053(586) 416-2053 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Kidwell Llmsw NPPES

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

KELLEY KIDWELL LLMSW (NPI 1609006840) is an individual social worker in Clinton Township, Michigan, licensed in Michigan (6801091155) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609006840
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLEY KIDWELLCredential: LLMSW
Location Address16200 19 MILE RDClinton Township, MI 48038-1103
Mailing Address36778 Mapleridge StClinton Township, MI 48035-1743
Phone(586) 416-2053
Fax(586) 416-2053
Sole ProprietorNo
Enumeration DateJuly 22, 2009
✔ NPI 1609006840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6801091155
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.
16200 19 MILE RD, Clinton Township, MI 48038
Open in Google Maps ↗

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 (PECOS)

Kelley Kidwell Llmsw 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.

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.

DR. BEVERLY LOUISE TUJAGUE PHD, LLP, CRC, CH
Psychologist
16200 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (248) 276-8177
MIRANDA GORGES
Behavior Technician
16200 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 276-8000
MRS. RACHEL LORRAINE DENSMORE LBSW
Social Worker
16200 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (248) 514-2607
CAROLYNNE VANDERVEEN LLMSW
Social Worker (Clinical)
16200 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 676-7975
CHRISTINA BARDY
Social Worker
16200 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-8763
SHERRI ZALESKI
Technician, Other
16200 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 464-0175
ADAM FUHRMAN
Counselor (Professional)
16200 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-8714
ANNA MORKS HORYD
Social Worker
16200 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-8700

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 Kelley Kidwell's NPI number?

The NPI number for Kelley Kidwell is 1609006840. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Kelley Kidwell located?

Kelley Kidwell practices at 16200 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 416-2053.

What is Kelley Kidwell's specialty?

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

Is Kelley Kidwell enrolled in Medicare?

Yes. Kelley Kidwell is registered in the Medicare PECOS enrollment system.

What insurance does Kelley Kidwell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Kelley Kidwell 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 Kelley Kidwell was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.