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SHANNON KELLEY
NPI 1639537913
Day Training/Habilitation Specialist in Detroit, MI

Active since February 02, 2016
3111 GRAND RIVER AVE, DETROIT, MI 48208(313) 557-8669 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2025, Feb 2, 2016 (2 updates tracked since 2016).

About Shannon Kelley NPPES

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

SHANNON KELLEY (NPI 1639537913) is an individual day training/habilitation specialist in Detroit, Michigan and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1639537913
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameSHANNON KELLEY
Location Address3111 GRAND RIVER AVEDetroit, MI 48208-2962
Mailing Address3111 Grand River AveDetroit, MI 48208-2962 · (313) 557-8669
Phone(313) 557-8669
Sole ProprietorYes
Enumeration DateFebruary 2, 2016
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1639537913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCase ManagementTaxonomy 251B00000X
3111 GRAND RIVER AVE, Detroit, MI 48208
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Other Providers at the Same Location NPPES 15

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

LAKESHA WASHINGTON
Day Training/Habilitation Specialist
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 964-3900
MYRIAH GRAHAM MSW, LLMSW
Social Worker (Clinical)
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 557-8719
ANTHOLYN FLOYED-JACKSON
Day Training/Habilitation Specialist
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 557-8620
EDWARD STEINBERGER LBSW
Social Worker
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 557-8659
CHERYCE GREENE
Technician
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 557-6118
DONNA LAQUINNE JONES BA
Social Worker
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 964-3000
SHANNON ELISE TRETHEWEY
Day Training/Habilitation Specialist
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 964-3900
GOODWILL INDUSTRIES OF GREATER DETROIT
Case Manager/Care Coordinator
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 964-3900

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 Shannon Kelley's NPI number?

The NPI number for Shannon Kelley is 1639537913. It was assigned to this individual provider in the NPPES registry on February 2, 2016.

Where is Shannon Kelley located?

Shannon Kelley practices at 3111 Grand River Ave, Detroit, MI 48208. The listed phone number is (313) 557-8669.

What is Shannon Kelley's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Shannon Kelley was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.