Kellie M Vaughn, LSW, LMSW
Social Worker, Clinical in Woodcliff Lake, New Jersey
1104674779- Practice location
- 595 Chestnut Ridge RD Ste 4, Woodcliff Lake, NJ 07677-7667
- Phone
- 551-368-0307
- Fax
- —
- Last updated
- August 20, 2025
Kellie Madison Vaughn is a Social Worker, Clinical based in Woodcliff Lake, NJ. Kellie Madison Vaughn practices in Woodcliff Lake, NJ and has the professional credentials of LSW, LMSW. The NPI Number for Kellie Madison Vaughn is 1104674779 and holds a License No. 44SL07280400 (NJ). The current practice location address for Kellie Madison Vaughn is 595 Chestnut Ridge RD Ste 4, Woodcliff Lake, NJ 07677-7667 and can be reached out via phone at 551-368-0307.
Provider Profile Details
- NPI Number
- 1104674779
- Provider Name
- Kellie Madison Vaughn
- Credential
- LSW, LMSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 595 Chestnut Ridge RD Ste 4, Woodcliff Lake, NJ 07677-7667
- Phone Number
- 551-368-0307
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 9, 2024
- Last Update Date
- August 20, 2025
- Certification Date
- August 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 595 Chestnut Ridge RD Ste 4
Woodcliff Lake, NJ 07677-7667 - City
- Woodcliff Lake
- State
- New Jersey
- Zip
- 07677-7667
- Phone Number
- 551-368-0307
Provider Business Mailing Address Details
- Address
- 595 Chestnut Ridge RD Ste 4
Woodcliff Lake, NJ 07677-7667 - City
- Woodcliff Lake
- State
- NJ
- Zip
- 07677-7667
License Information
- License Number (1)
- 44SL07280400
- License State (1)
- NJ
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- 128018
- License State (2)
- NY
- Taxonomy (2)
- Social Worker · 104100000X
- License Number (3)
- 44SL07280400
- License State (3)
- NJ
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Woodcliff Lake, NJ
View all Social Worker, Clinical providers in Woodcliff Lake →- Diana P Gil-Chavez, LCSWSocial Worker, Clinical · NPI 1124732938
- Dwight D Panozzo, LCSWSocial Worker, Clinical · NPI 1558383851
- Gabrielle SteinSocial Worker, Clinical · NPI 1871789677
- Karin Williams, LCSWSocial Worker, Clinical · NPI 1760769061
- Lisa Medico, LCSWSocial Worker, Clinical · NPI 1578219226
- Mr. Drew K Losak, LCSWSocial Worker, Clinical · NPI 1366712457
Frequently Asked Questions
What is the NPI number of Kellie M Vaughn, LSW, LMSW?
The NPI number of Kellie M Vaughn, LSW, LMSW is 1104674779. It was assigned on May 9, 2024 and is currently active in the NPPES registry.
What is the specialty of Kellie M Vaughn, LSW, LMSW?
Kellie M Vaughn, LSW, LMSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL07280400.
Where does Kellie M Vaughn, LSW, LMSW practice?
The practice location is 595 Chestnut Ridge RD Ste 4, Woodcliff Lake, NJ 07677-7667. The office can be reached at 551-368-0307 (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 1104674779 directly on the NPPES registry website.