Shijuan Kelly, LMSW
NPI 1558793612 · Clinical Social Worker · Port Huron, MI
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shijuan Kelly, LMSW is a Clinical Social Worker provider in Port Huron, MI (NPI 1558793612).
Provider details
- NPI number
- 1558793612
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2013-07-31
- Last updated
- 2024-07-11
- Certified
- 2024-07-11
Frequently asked questions
- What is Shijuan Kelly's NPI number?
- Shijuan Kelly's National Provider Identifier (NPI) is 1558793612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shijuan Kelly's specialty?
- Shijuan Kelly is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shijuan Kelly located?
- Shijuan Kelly's practice location on file with NPPES is 520 Superior Street, Port Huron, MI 48060-3541.
- What is Shijuan Kelly's phone number?
- The practice phone number listed in the NPPES registry for Shijuan Kelly is (810) 984-4202.
- Does Shijuan Kelly accept Medicare?
- Shijuan Kelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shijuan Kelly's NPI active?
- Yes — Shijuan Kelly's NPI (1558793612) is active in the NPPES registry as of the last update on 2024-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.