KELLEY SAMUELS-GOOD
NPI 1841748977
Social Worker in Cadillac, MI

Q: What is Kelley Samuels-good's NPI number?

The NPI number for Kelley Samuels-good is 1841748977. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Q: What is Kelley Samuels-good's specialty?

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

Active since September 19, 2016PECOS EnrolledAccepts Medicare Assignment

527 COBB ST, CADILLAC, MI 49601(231) 775-3463 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kelley Samuels-good NPPES

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

KELLEY SAMUELS-GOOD (NPI 1841748977) is an individual social worker in Cadillac, Michigan and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1841748977

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKELLEY SAMUELS-GOOD

Location Address527 COBB STCadillac, MI 49601-2540

Mailing Address105 Hall StTraverse City, MI 49684-2288 · (231) 922-4850

Phone(231) 775-3463

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 19, 2016

✔ NPI 1841748977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

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.

527 COBB ST, Cadillac, MI 49601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelley Samuels-good is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698168052

PECOS Enrollment IDI20220207001621

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelley Samuels-good reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northern Lakes Community Mental Health Authority

38 mi

Community/Behavioral Health

105 HALL ST, SUITE A
Traverse City, MI 49684

Reassigned Medicare billing, Michigan enrollment
16 clinicians in this Medicare group

NPI 1669572657 (231) 922-4850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

BROOKE CHAMPT LLMSW

Social Worker (Clinical)