Active NPIIndividual provider

Kelly Walsh, LSW

Social Worker in Ridgewood, New Jersey

NPI Number1063056802
Practice location
120 Chestnut St, Ridgewood, NJ 07450-2504
Fax
—
Last updated
November 5, 2019

Kelly Walsh is a Social Worker based in Ridgewood, NJ. Kelly Walsh practices in Ridgewood, NJ and has the professional credentials of LSW. The NPI Number for Kelly Walsh is 1063056802 and holds a License No. 44SL06505100 (NJ). The current practice location address for Kelly Walsh is 120 Chestnut St, Ridgewood, NJ 07450-2504 and can be reached out via phone at 201-444-3550.

Provider Profile Details

NPI Number
1063056802
Provider Name
Kelly Walsh
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
120 Chestnut St, Ridgewood, NJ 07450-2504
Phone Number
201-444-3550
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
November 5, 2019
Last Update Date
November 5, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Chestnut St
Ridgewood, NJ 07450-2504
Zip
07450-2504
Phone Number
201-444-3550
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
11 High St Apt 3R
Nutley, NJ 07110-1166
City
Nutley
State
NJ
Zip
07110-1166
Phone Number
201-398-3038

License Information

License Number
44SL06505100
License State
NJ
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly Walsh, LSW?

The NPI number of Kelly Walsh, LSW is 1063056802. It was assigned on November 5, 2019 and is currently active in the NPPES registry.

What is the specialty of Kelly Walsh, LSW?

Kelly Walsh, LSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL06505100.

Where does Kelly Walsh, LSW practice?

The practice location is 120 Chestnut St, Ridgewood, NJ 07450-2504. The office can be reached at 201-444-3550 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063056802 directly on the NPPES registry website.

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