Active NPIIndividual providerSole proprietor

Mrs. Kathleen M Elleo, LCSW

Social Worker, Clinical in Midland Park, New Jersey

NPI Number1295891034
Practice location
323 Godwin Ave Ste 1, Midland Park, NJ 07432-1534
Fax
—
Last updated
June 27, 2023

Kathleen Marie Elleo is a Social Worker, Clinical based in Midland Park, NJ. Kathleen Marie Elleo practices in Midland Park, NJ and has the professional credentials of LCSW. The NPI Number for Kathleen Marie Elleo is 1295891034 and holds a License No. 44SC05243400 (NJ). The current practice location address for Kathleen Marie Elleo is 323 Godwin Ave Ste 1, Midland Park, NJ 07432-1534 and can be reached out via phone at 201-704-2573.

Provider Profile Details

NPI Number
1295891034
Provider Name
Kathleen Marie Elleo
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
323 Godwin Ave Ste 1, Midland Park, NJ 07432-1534
Phone Number
201-704-2573
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 28, 2006
Last Update Date
June 27, 2023
Certification Date
June 27, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
323 Godwin Ave Ste 1
Midland Park, NJ 07432-1534
Zip
07432-1534
Phone Number
201-704-2573
Midland Park, NJ 07432Get directions →

Provider Business Mailing Address Details

Address
323 Godwin Ave Ste 1
Midland Park, NJ 07432-1534
City
Midland Park
State
NJ
Zip
07432-1534
Phone Number
201-704-2573

License Information

License Number
44SC05243400
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 Mrs. Kathleen M Elleo, LCSW?

The NPI number of Mrs. Kathleen M Elleo, LCSW is 1295891034. It was assigned on December 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kathleen M Elleo, LCSW?

Mrs. Kathleen M Elleo, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05243400.

Where does Mrs. Kathleen M Elleo, LCSW practice?

The practice location is 323 Godwin Ave Ste 1, Midland Park, NJ 07432-1534. The office can be reached at 201-704-2573 (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 1295891034 directly on the NPPES registry website.

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