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

Individual provider Social Worker · NPI 1558793612

Miss. Shijuan Kelly, LMSW is a Clinical Social Worker in Port Huron, Michigan. Qualified in 2011, 15 years ago. Practices with Professional Counseling Center, PC, a 17-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

520 Superior St
Port Huron, MI 48060-3541
Phone: (810) 984-4202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801093330 (MI)
Social Worker Taxonomy 104100000X

Record details

NPI number1558793612
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorYes
NPI enumeratedJuly 31, 2013
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Professional Counseling Center,P.C. — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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