Individual provider · Type 1 NPI

Kelly Marie Shangle, BSW

Peer Specialist · Grand Rapids, MI

NPI number 1457040784 Active

Practice location

260 Jefferson Ave SE
Grand Rapids, MI 49503-4597

Call (616) 336-3909 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1457040784

Kelly Marie Shangle, BSW's National Provider Identifier is 1457040784, issued on May 3, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 21, 2026.