Active NPIIndividual providerSole proprietor

Kelly Dyckman

Social Worker, Clinical in Morganville, New Jersey

NPI Number1255985180
Practice location
705 Ginesi Dr, Morganville, NJ 07751-1235
Fax
—
Last updated
July 29, 2019

Kelly Dyckman is a Social Worker, Clinical based in Morganville, NJ. Kelly Dyckman practices in Morganville, NJ. The NPI Number for Kelly Dyckman is 1255985180 and holds a License No. 44SC05830300 (NJ). The current practice location address for Kelly Dyckman is 705 Ginesi Dr, Morganville, NJ 07751-1235 and can be reached out via phone at 732-993-7261.

Provider Profile Details

NPI Number
1255985180
Provider Name
Kelly Dyckman
Provider Entity Type
Individual
Gender
Female
Address
705 Ginesi Dr, Morganville, NJ 07751-1235
Phone Number
732-993-7261
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 29, 2019
Last Update Date
July 29, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
705 Ginesi Dr
Morganville, NJ 07751-1235
Zip
07751-1235
Phone Number
732-993-7261
Morganville, NJ 07751Get directions →

Provider Business Mailing Address Details

Address
17 Manning St
Red Bank, NJ 07701-5518
City
Red Bank
State
NJ
Zip
07701-5518
Phone Number
908-463-7357

License Information

License Number
44SC05830300
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Dyckman?

The NPI number of Kelly Dyckman is 1255985180. It was assigned on July 29, 2019 and is currently active in the NPPES registry.

What is the specialty of Kelly Dyckman?

Kelly Dyckman is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05830300.

Where does Kelly Dyckman practice?

The practice location is 705 Ginesi Dr, Morganville, NJ 07751-1235. The office can be reached at 732-993-7261 (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 1255985180 directly on the NPPES registry website.

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