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

Rebecca Ann-Pastoor Kelley, LLBSW, QIDP

Individual provider Social Worker · NPI 1902312952

Rebecca Ann-Pastoor Kelley, LLBSW, QIDP is a Social Worker in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1111 40th St SE
Grand Rapids, MI 49508-6084
Phone: (616) 241-6258
Fax: (616) 241-6470
Show map & directions

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

Additional practice locations (1)

  • 3353 Lousma Dr Se, Wyoming, MI 49548-2251 — (616) 241-6259

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 68020810 (MI)
Social Worker Taxonomy 104100000X

Record details

NPI number1902312952
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLBSW , QIDP
Sole proprietorNo
NPI enumeratedDecember 28, 2017
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024

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