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

Individual provider Clinical Social Worker · NPI 1225154800

Mr. Brendan Neubecker Kelly, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2003, 23 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2007
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

1118 Frnt Ave NW Ste 1
Grand Rapids, MI 49504
Phone: (616) 458-6870
Fax: (616) 458-6874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1118 Front Ave Nw Ste 1, Grand Rapids, MI 49504 — (616) 458-6870
  • 1118 Front Ave Nw Ste 1, Grand Rapids, MI 49504 — (616) 458-6870

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801087301 (MI)

Record details

NPI number1225154800
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedMarch 22, 2007
Last updated in NPPESFebruary 25, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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