Kelly Redkoles
Social Worker, Clinical in West Deptford, New Jersey
1578786240- Practice location
- 901 Mantua Pike, Bldg A Suite 103, West Deptford, NJ 08096
- Phone
- 856-294-6711
- Fax
- —
- Last updated
- March 31, 2021
Kelly Redkoles is a Social Worker, Clinical based in West Deptford, NJ. Kelly Redkoles practices in West Deptford, NJ. The NPI Number for Kelly Redkoles is 1578786240 and holds a License No. 44sl05393200 (NJ). The current practice location address for Kelly Redkoles is 901 Mantua Pike, Bldg A Suite 103, West Deptford, NJ 08096 and can be reached out via phone at 856-294-6711.
Provider Profile Details
- NPI Number
- 1578786240
- Provider Name
- Kelly Redkoles
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 901 Mantua Pike, Bldg A Suite 103, West Deptford, NJ 08096
- Phone Number
- 856-294-6711
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 11, 2007
- Last Update Date
- March 31, 2021
- Certification Date
- March 31, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 901 Mantua Pike
Bldg A Suite 103
West Deptford, NJ 08096 - City
- West Deptford
- State
- New Jersey
- Zip
- 08096
- Phone Number
- 856-294-6711
Provider Business Mailing Address Details
- Address
- 119 Wheatley Blvd
Mullica Hill, NJ 08062-9605 - City
- Mullica Hill
- State
- NJ
- Zip
- 08062-9605
- Phone Number
- 856-889-5902
License Information
- License Number (1)
- 44sl05393200
- License State (1)
- NJ
- Taxonomy (1)
- Social Worker · 104100000X
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- 44SC05386600
- 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 West Deptford, NJ
View all Social Worker, Clinical providers in West Deptford →- Alexis K FarrellSocial Worker, Clinical · NPI 1932819240
- Beverly Lynch, LCSWSocial Worker, Clinical · NPI 1144650532
- Colleen Harding, LCSWSocial Worker, Clinical · NPI 1689400483
- Constanta Wellness & Healing LLCSocial Worker, Clinical · NPI 1982317855
- Jana A Sasser, LSWSocial Worker, Clinical · NPI 1326879511
- Michele Gudknecht, LCSWSocial Worker, Clinical · NPI 1952023624
Frequently Asked Questions
What is the NPI number of Kelly Redkoles?
The NPI number of Kelly Redkoles is 1578786240. It was assigned on April 11, 2007 and is currently active in the NPPES registry.
What is the specialty of Kelly Redkoles?
Kelly Redkoles is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44sl05393200.
Where does Kelly Redkoles practice?
The practice location is 901 Mantua Pike, Bldg A Suite 103, West Deptford, NJ 08096. The office can be reached at 856-294-6711 (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 1578786240 directly on the NPPES registry website.