Healthcare Provider Details

I. General information

NPI: 1801759154
Provider Name (Legal Business Name): KELSEY JANAYE LEHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3410 BELLE CHASE WAY
LANSING MI
48911-4282
US

IV. Provider business mailing address

1425 N HAYFORD AVE
LANSING MI
48912-3319
US

V. Phone/Fax

Practice location:
  • Phone: 313-364-9530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851098116
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: