| Kelly Riley, Pllc | |
|
333 E Grand River Ave Brighton MI 48116-1513 | |
| (810) 599-9591 | |
| Not Available |
| Full Name | Kelly Riley, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 333 E Grand River Ave, Brighton, Michigan |
| Authorized Official Name and Position | Kelly A. Riley (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8105999591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Riley, Pllc Po Box 10 Mason MI 48854-0010 Ph: () - | Kelly Riley, Pllc 333 E Grand River Ave Brighton MI 48116-1513 Ph: (810) 599-9591 |
| NPI Number | 1306122056 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 2466882279 |
|---|---|
| Medicare Enrollment ID | O20200420000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306122056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Heather M Milliken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548600786 PECOS PAC ID: 1951537265 Enrollment ID: I20131114002003 |
| Provider Name | Kelly Ann Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437361656 PECOS PAC ID: 3375973183 Enrollment ID: I20200420000129 |
| Provider Name | Jennifer M Ross-music |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326675000 PECOS PAC ID: 3274954961 Enrollment ID: I20200604002654 |
| Provider Name | Jessica R Esker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427690916 PECOS PAC ID: 3678991486 Enrollment ID: I20200910002465 |
| Provider Name | Tracey Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205141595 PECOS PAC ID: 9032593439 Enrollment ID: I20220902002103 |
| Provider Name | Nadine Bye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346780855 PECOS PAC ID: 5698124519 Enrollment ID: I20231218000711 |
| Provider Name | Celine Mary Klecker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184959736 PECOS PAC ID: 8123478971 Enrollment ID: I20231220001917 |
| Provider Name | Valerie Lisa Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982084299 PECOS PAC ID: 2961852629 Enrollment ID: I20231221002384 |
| Provider Name | Elizabeth Ann Pendleton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346834108 PECOS PAC ID: 0840636247 Enrollment ID: I20240307002886 |
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