David Scott Kelly, MA,CAADC,MAC,CCS is a
Social Worker based in Charlevoix, Michigan. David Scott Kelly is licensed to practice in Michigan (license number 6802062018) and his current practice location is
101 M 66 N, Charlevoix, Michigan. He can be reached at his office (for appointments etc.) via phone at
(231) 547-1144.
NPI number for David Scott Kelly is 1679958664 and his current mailing address is 101 M 66 N, Charlevoix, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679958664.
Healthcare Provider's Profile
| Full Name | David Scott Kelly |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 101 M 66 N, Charlevoix, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679958664
- Provider Enumeration Date: 07/20/2015
- Last Update Date: 06/15/2023
Medical Identifiers
Medical identifiers for David Scott Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679958664 | NPI | - | NPPES |
| 20151209439760 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | SA0150013 (Michigan) | Secondary |
| 104100000X | Social Worker | 6802062018 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Scott Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
David Scott Kelly, MA,CAADC,MAC,CCS
101 M 66 N,
Charlevoix, MI 49720-9338
Ph: (231) 547-1144 | David Scott Kelly, MA,CAADC,MAC,CCS
101 M 66 N,
Charlevoix, MI 49720-9338
Ph: (231) 547-1144 |
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