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

Individual provider Clinical Social Worker · NPI 1023363488

Mr. Kelly Michael Bassham, LMSW is a Clinical Social Worker in Birmingham, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
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

200 Elm St Ste 200D
Birmingham, MI 48009-6322
Phone: (248) 986-2991
Fax: (248) 294-1237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2977 West Grand Blvd, Detroit, MI 48202 — (313) 916-8158

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801090908 (MI)

Record details

NPI number1023363488
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedJuly 20, 2012
Last updated in NPPESSeptember 5, 2021
Certification dateSeptember 5, 2021

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