Provider Demographics
NPI:1669804357
Name:KIELY, HILARY GRACE (LMSW)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:GRACE
Last Name:KIELY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 PALMER AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-1732
Mailing Address - Country:US
Mailing Address - Phone:231-286-5212
Mailing Address - Fax:
Practice Address - Street 1:1307 PALMER AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-1732
Practice Address - Country:US
Practice Address - Phone:231-286-5212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801111169OtherLARA