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

Mrs. Michelle R Kelly, LCSW

Individual provider Clinical Social Worker · NPI 1184489924

Mrs. Michelle R Kelly, LCSW is a Clinical Social Worker in South Jordan, Utah. Qualified in 2008, 18 years ago. Practices with Bmsc Az LLC, a 133-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
18
Licensed in
UT
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

10459 S Temple Dr Ste 102
South Jordan, UT 84095-8930
Phone: (801) 432-0778
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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 7061940-3501 (UT)

Record details

NPI number1184489924
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 20, 2024
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Bmsc Az Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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