Kaissidy Homolka, LMSW is a
Social Worker - Clinical based in Mio, Michigan. Kaissidy Homolka is licensed to practice in Michigan (license number 6851121350) and her current practice location is
1110 W 8th St, Mio, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 354-2197.
NPI number for Kaissidy Homolka is 1063370385 and her current mailing address is Po Box 427, Hillman, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063370385.
Healthcare Provider's Profile
| Full Name | Kaissidy Homolka |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1110 W 8th St, Mio, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063370385
- Provider Enumeration Date: 01/14/2026
- Last Update Date: 01/19/2026
Medical Identifiers
Medical identifiers for Kaissidy Homolka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063370385 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 6851121350 (Michigan) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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. Kaissidy Homolka 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 |
Kaissidy Homolka, LMSW Po Box 427, Hillman, MI 49746-0427 Ph: (989) 354-2197 | Kaissidy Homolka, LMSW 1110 W 8th St, Mio, MI 48647-9140 Ph: (989) 354-2197 |
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