Active NPIIndividual provider

Kelly Nilsen, MSW, LCSW

Social Worker, Clinical in Oradell, New Jersey

NPI Number1770019499
Practice location
334 Kinderkamack RD, Oradell, NJ 07649-2102
Fax
—
Last updated
March 11, 2020

Kelly Nilsen is a Social Worker, Clinical based in Oradell, NJ. Kelly Nilsen practices in Oradell, NJ and has the professional credentials of MSW, LCSW. The NPI Number for Kelly Nilsen is 1770019499 and holds a License No. 44SL06213400 (NJ). The current practice location address for Kelly Nilsen is 334 Kinderkamack RD, Oradell, NJ 07649-2102 and can be reached out via phone at 201-614-5217.

Provider Profile Details

NPI Number
1770019499
Provider Name
Kelly Nilsen
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
334 Kinderkamack RD, Oradell, NJ 07649-2102
Phone Number
201-614-5217
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 2, 2017
Last Update Date
March 11, 2020
Certification Date
March 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
334 Kinderkamack RD
Oradell, NJ 07649-2102
Zip
07649-2102
Phone Number
201-614-5217
Oradell, NJ 07649Get directions →

Provider Business Mailing Address Details

Address
120 Chestnut St
Ridgewood, NJ 07450-2504
City
Ridgewood
State
NJ
Zip
07450-2504
Phone Number
201-444-3550

License Information

License Number (1)
44SL06213400
License State (1)
NJ
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
44SC05866700
License State (2)
NJ
Taxonomy (2)
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 Nilsen, MSW, LCSW?

The NPI number of Kelly Nilsen, MSW, LCSW is 1770019499. It was assigned on May 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Kelly Nilsen, MSW, LCSW?

Kelly Nilsen, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL06213400.

Where does Kelly Nilsen, MSW, LCSW practice?

The practice location is 334 Kinderkamack RD, Oradell, NJ 07649-2102. The office can be reached at 201-614-5217 (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 1770019499 directly on the NPPES registry website.

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