What is Kelly Fornwalt's NPI number?

Kelly Fornwalt's National Provider Identifier (NPI) is 1174821938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Fornwalt's specialty?

Kelly Fornwalt is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Kelly Fornwalt located?

Kelly Fornwalt's practice location on file with NPPES is 271 S Main St, Plymouth, MI 48170-1637.

What is Kelly Fornwalt's phone number?

The practice phone number listed in the NPPES registry for Kelly Fornwalt is (734) 455-4095.

Is Kelly Fornwalt's NPI active?

Yes — Kelly Fornwalt's NPI (1174821938) is active in the NPPES registry as of the last update on 2011-03-03.

IndividualActive

Kelly Fornwalt

NPI 1174821938 · Social Worker · Plymouth, MI

Kelly Fornwalt is a Social Worker provider in Plymouth, MI (NPI 1174821938).

Provider details

NPI number: 1174821938
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Social WorkerPrimary104100000X
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(75/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

271 S Main St

Plymouth, MI 48170-1637

Phone: (734) 455-4095

Street-level locationGet directions

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Mailing address