Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelsy Rae Thom, SST, QMHP, QIDP

Individual provider Clinical Social Worker · NPI 1730815440

Kelsy Rae Thom, SST, QMHP, QIDP is a Clinical Social Worker in Kingsford, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

715 Pyle Dr
Kingsford, MI 49802-4456
Phone: (906) 282-3255
Fax: (906) 779-1306
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6803087179 (MI)

Record details

NPI number1730815440
Entity typeIndividual (Type 1)
GenderFemale
Credentials SST , QMHP , QIDP
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022

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