Individual provider · Type 1 NPI
Kaissidy Ennis, LLMSW
Clinical Social Worker · Kalkaska, MI
Practice location
515 S Birch St
Kalkaska, MI 49646-9553
Fax (231) 258-2999
Mailing address
1420 Plaza Dr
Petoskey, MI 49770-9420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 6851121350 (MI) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
Another provider at this address
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About NPI 1063370385
Kaissidy Ennis, LLMSW's National Provider Identifier is 1063370385, issued on Jan 14, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kalkaska, MI. The record was last updated on Oct 28, 2026.