Brian R Kelley, LMSW, CAADC is a
Social Worker - Clinical based in Ann Arbor, Michigan. Brian R Kelley is licensed to practice in Michigan (license number 6801112117) and his current practice location is
4750 Venture Dr Ste 400, Ann Arbor, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 666-7742.
NPI number for Brian R Kelley is 1063958395 and his current mailing address is 2135 Hollow Oak Dr, Ann Arbor, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063958395.
Healthcare Provider's Profile
| Full Name | Brian R Kelley |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 4750 Venture Dr Ste 400, Ann Arbor, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063958395
- Provider Enumeration Date: 01/10/2017
- Last Update Date: 09/25/2025
Medical Identifiers
Medical identifiers for Brian R Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063958395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C-03804 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801112117 (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. Brian R Kelley 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 |
Brian R Kelley, LMSW, CAADC 2135 Hollow Oak Dr, Ann Arbor, MI 48103-8402 Ph: (646) 660-3713 | Brian R Kelley, LMSW, CAADC 4750 Venture Dr Ste 400, Ann Arbor, MI 48108-9505 Ph: (313) 666-7742 |
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