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KESSY DOMITROVICH
NPI 1770434763
Case Manager/Care Coordinator in Houghton, MI

Active since February 05, 2026
901 W MEM DR, HOUGHTON, MI 49931(906) 482-9400 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kessy Domitrovich NPPES

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

KESSY DOMITROVICH (NPI 1770434763) is an individual case manager/care coordinator provider in Houghton, Michigan and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1770434763
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKESSY DOMITROVICH
Location Address901 W MEM DRHoughton, MI 49931-2475
Mailing Address901 W Mem DrHoughton, MI 49931-2475 · (906) 482-9400
Phone(906) 482-9400
Sole ProprietorNo
Enumeration DateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1770434763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
901 W MEM DR, Houghton, MI 49931
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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.

SHANNEN MAJHOR
Social Worker
901 W MEM DR
HOUGHTON, MI 49931
Houghton County (906) 482-9404
LORI RAE AHO
Social Worker
901 W MEM DR
HOUGHTON, MI 49931
Houghton County (906) 482-9400
MARY ANGELA SERGEYEVA
Behavior Technician
901 W MEM DR
HOUGHTON, MI 49931
Houghton County (906) 482-9400
JONATHAN PACKHAM OTR/L
Occupational Therapist
901 W MEM DR
HOUGHTON, MI 49931
Houghton County (906) 482-9400
MARY LOUISE WEED LLMSW
Social Worker
901 W MEM DR
HOUGHTON, MI 49931
Houghton County (906) 482-9400
ROBERTA ROSENBERGER RN
Registered Nurse
901 W MEM DR
HOUGHTON, MI 49931
Houghton County (906) 482-9904
GARY V MARQUARDT LLMSW
Social Worker (Clinical)
901 W MEM DR
HOUGHTON, MI 49931
Houghton County (906) 482-9404
SABRINA LOVEN-GULICK LMSW
Social Worker (Clinical)
901 W MEM DR
HOUGHTON, MI 49931
Houghton County (906) 483-5531

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 Kessy Domitrovich's NPI number?

The NPI number for Kessy Domitrovich is 1770434763. It was assigned to this individual provider in the NPPES registry on February 5, 2026.

Where is Kessy Domitrovich located?

Kessy Domitrovich practices at 901 W Mem Dr, Houghton, MI 49931. The listed phone number is (906) 482-9400.

What is Kessy Domitrovich's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kessy Domitrovich was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.