Brian R Kelley | Ann Arbor, MI • PECOS Search

Brian R Kelley

Social Worker

Behavioral Health & Social Service Providers

202 E Washington St Ste 602, Ann Arbor, MI 48104-2012

PECOS Enrollment

Based on the most recent information from CMS, provider Brian R Kelley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1063958395
Provider Type
Individual
Full Name
Kelley, Brian R
Credential
LMSW, CAADC

Gender
Male
Sole Proprietor
No
Enumeration Date
1/10/2017
Last Updated
3/24/2025

Contact Information

Practice Location

202 E Washington St Ste 602, Ann Arbor, MI 48104-2012

Unlisted Fax

Mailing Location

2135 Hollow Oak Dr, Ann Arbor, MI 48103-8402

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801112117 Michigan