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

Mathea Kennedy Ismond, BSW

Individual provider Social Worker · NPI 1548907975

Mathea Kennedy Ismond, BSW is a Social Worker in Grand Rapids, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1115 Ball Ave NE
Grand Rapids, MI 49505-5904
Phone: (616) 451-3001
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1548907975
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSW
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022

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