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REBECCA ANN-PASTOOR KELLEY LLBSW, QIDP
NPI 1902312952
Social Worker in Grand Rapids, MI

Active since December 28, 2017
1111 40TH ST SE, GRAND RAPIDS, MI 49508(616) 241-6258(616) 241-6470 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 5, 2024, Dec 28, 2017 (2 updates tracked since 2017).

About Rebecca Ann-pastoor Kelley Llbsw, Qidp NPPES

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

REBECCA ANN-PASTOOR KELLEY LLBSW, QIDP (NPI 1902312952) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (68020810) and active in the NPI registry since December 2017. She maintains a secondary practice location in Wyoming.

NPPES Registry Identity

NPI1902312952
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameREBECCA ANN-PASTOOR KELLEYCredential: LLBSW, QIDP
Location Address1111 40TH ST SEGrand Rapids, MI 49508-6084
Mailing Address1111 40th St SeGrand Rapids, MI 49508-6084 · (616) 241-6258 · Fax (616) 241-6470
Phone(616) 241-6258
Fax(616) 241-6470
Sole ProprietorNo
Enumeration DateDecember 28, 2017
Last NPPES UpdateJuly 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
✔ NPI 1902312952 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 · 68020810
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.
1111 40TH ST SE, Grand Rapids, MI 49508
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Secondary Practice Location 1

Location 13353 Lousma Dr SEWyoming, MI 49548-2251 · Phone (616) 241-6259 ext. 4205 · Fax (616) 241-6470

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.

JENNIFER ORTIZ
Social Worker
1111 40TH ST SE
GRAND RAPIDS, MI 49508
Kent County (616) 241-6258
KAYLA MARIE HATTEN BSW
Social Worker
1111 40TH ST SE
GRAND RAPIDS, MI 49508
Kent County (616) 893-2758
SARAH ELENA BOOMGAARD-HUGHES
Social Worker
1111 40TH ST SE
GRAND RAPIDS, MI 49508
Kent County (616) 881-5814
KAILYN GRACE ANDERSON LLBSW
Social Worker
1111 40TH ST SE
GRAND RAPIDS, MI 49508
Kent County (616) 241-6258
KATHERINE GONZALES LMSW, QIDP
Social Worker
1111 40TH ST SE
GRAND RAPIDS, MI 49508
Kent County (616) 241-6258
ERIKA ROJAS
Social Worker
1111 40TH ST SE
GRAND RAPIDS, MI 49508
Kent County (616) 885-2510
LINDA THI TRAN
Social Worker
1111 40TH ST SE
GRAND RAPIDS, MI 49508
Kent County (616) 885-3771
MALEA ELLENS BS
Case Manager/Care Coordinator
1111 40TH ST SE
GRAND RAPIDS, MI 49508
Kent County (616) 885-2039

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 Rebecca Kelley's NPI number?

The NPI number for Rebecca Kelley is 1902312952. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Where is Rebecca Kelley located?

Rebecca Kelley practices at 1111 40th St SE, Grand Rapids, MI 49508. The listed phone number is (616) 241-6258.

What is Rebecca Kelley's specialty?

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

When was this NPI record last updated?

The NPPES record for Rebecca Kelley was last updated on July 5, 2024. 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.