Active NPIIndividual provider

Kelly Koeller, LCSW

Social Worker, Clinical in Somerville, New Jersey

NPI Number1639473465
Practice location
110 Rehill Ave, Somerville, NJ 08876-2519
Fax
—
Last updated
November 14, 2016

Kelly Koeller is a Social Worker, Clinical based in Somerville, NJ. Kelly Koeller practices in Somerville, NJ and has the professional credentials of LCSW. The NPI Number for Kelly Koeller is 1639473465 and holds a License No. 44SC05693300 (NJ). The current practice location address for Kelly Koeller is 110 Rehill Ave, Somerville, NJ 08876-2519 and can be reached out via phone at 908-203-5961.

Provider Profile Details

NPI Number
1639473465
Provider Name
Kelly Koeller
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
110 Rehill Ave, Somerville, NJ 08876-2519
Phone Number
908-203-5961
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Kelly Hansen, LCSW (Former Name)
Provider Enumeration Date
January 9, 2011
Last Update Date
November 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Rehill Ave
Somerville, NJ 08876-2519
Zip
08876-2519
Phone Number
908-203-5961
Somerville, NJ 08876Get directions →

Provider Business Mailing Address Details

Address
Po Box 834
Saddle River, NJ 07458-0834
City
Saddle River
State
NJ
Zip
07458-0834

License Information

License Number
44SC05693300
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 Koeller, LCSW?

The NPI number of Kelly Koeller, LCSW is 1639473465. It was assigned on January 9, 2011 and is currently active in the NPPES registry.

What is the specialty of Kelly Koeller, LCSW?

Kelly Koeller, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05693300.

Where does Kelly Koeller, LCSW practice?

The practice location is 110 Rehill Ave, Somerville, NJ 08876-2519. The office can be reached at 908-203-5961 (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 1639473465 directly on the NPPES registry website.

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