Active NPIIndividual providerSole proprietor

Caitlin Kelly

Social Worker, Clinical in Mahwah, New Jersey

NPI Number1679310569
Practice location
87 Fardale Ave, Mahwah, NJ 07430-2926
Fax
—
Last updated
July 9, 2024

Caitlin Kelly is a Social Worker, Clinical based in Mahwah, NJ. Caitlin Kelly practices in Mahwah, NJ. The NPI Number for Caitlin Kelly is 1679310569 and holds a License No. 44SC05661400 (NJ). The current practice location address for Caitlin Kelly is 87 Fardale Ave, Mahwah, NJ 07430-2926 and can be reached out via phone at 862-414-0675.

Provider Profile Details

NPI Number
1679310569
Provider Name
Caitlin Kelly
Provider Entity Type
Individual
Gender
Female
Address
87 Fardale Ave, Mahwah, NJ 07430-2926
Phone Number
862-414-0675
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 9, 2024
Last Update Date
July 9, 2024
Certification Date
July 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
87 Fardale Ave
Mahwah, NJ 07430-2926
City
Mahwah
Zip
07430-2926
Phone Number
862-414-0675
Mahwah, NJ 07430Get directions →

Provider Business Mailing Address Details

Address
87 Fardale Ave
Mahwah, NJ 07430-2926
City
Mahwah
State
NJ
Zip
07430-2926
Phone Number
862-414-0675

License Information

License Number
44SC05661400
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 Caitlin Kelly?

The NPI number of Caitlin Kelly is 1679310569. It was assigned on July 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Caitlin Kelly?

Caitlin Kelly is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05661400.

Where does Caitlin Kelly practice?

The practice location is 87 Fardale Ave, Mahwah, NJ 07430-2926. The office can be reached at 862-414-0675 (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 1679310569 directly on the NPPES registry website.

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