MRS. KELLY DEAN BRYAN (LMSW, CAC-I) – Social Worker, NPI 1144359795

MRS. KELLY DEAN BRYAN (LMSW, CAC-I) is a healthcare provider. based in Bay city, Michigan. specializing in Social Worker. They hold the professional credentials LMSW, CAC-I. They hold a License No. 6801077320 (MI). The NPI Number for MRS. KELLY DEAN BRYAN (LMSW, CAC-I) is 1144359795

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY DEAN BRYAN (LMSW, CAC-I)
NPI
1144359795
Phone
(989) 895-5049
Address
1402 WOODSIDE AVE
Enumeration Date
2 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898952300
Graduation Year
1998 (28 years ago)
PAC ID
4587710322
Group Practice PAC ID
5496706228
Professional Enrollment ID
I20090921000549
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. KELLY DEAN BRYAN (LMSW, CAC-I)

  • 1402 WOODSIDE AVE

    BAY CITY, MI 487085478

    Phone: (989) 895-5049

    Type: Mailing

  • 6379 DIXIE HWY

    BRIDGEPORT, MI 487229566

    Phone: (989) 777-4357

    Fax: (989) 777-7257

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090921000549IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour11013$0
90834Psychotherapy, 45 minutes4713$0
90832Psychotherapy, 30 minutes4211$0
View full utilization report →

Insurance plans in this area (ZIP 48708)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496706228View full group profile
NameSpecialtyState
Physician AssistantMI
-MI
Clinical Social WorkerMI
P S Y C H I A T R YTN
Clinical Social WorkerMI
Occupational Therapist In Private PracticeMI
Mental Health CounselorMI
Nurse PractitionerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How do I look up MRS. KELLY DEAN BRYAN (LMSW, CAC-I) by NPI?
Use NPI 1144359795 when you need to reference MRS. KELLY DEAN BRYAN (LMSW, CAC-I) in forms, claims, or directories.
Is MRS. KELLY DEAN BRYAN (LMSW, CAC-I)'s NPI currently valid?
The extract we use shows MRS. KELLY DEAN BRYAN (LMSW, CAC-I) as active.
Does MRS. KELLY DEAN BRYAN (LMSW, CAC-I) list a primary specialty?
If you are matching referrals, note Social Worker for MRS. KELLY DEAN BRYAN (LMSW, CAC-I). Clinical services aligned with this taxonomy classification.
Where is MRS. KELLY DEAN BRYAN (LMSW, CAC-I)'s primary listing?
We display Bay City, Michigan because that is what the record indicates for MRS. KELLY DEAN BRYAN (LMSW, CAC-I).
How can I contact MRS. KELLY DEAN BRYAN (LMSW, CAC-I)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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