Active NPIIndividual providerSole proprietor

Kelsey O Bisson, LCSW

Social Worker, Clinical in Midland Park, New Jersey

NPI Number1942740477
Practice location
666 Godwin Ave Ste 300, Midland Park, NJ 07432-1463
Fax
201-444-8177
Last updated
December 23, 2020

Kelsey Oakes Bisson is a Social Worker, Clinical based in Midland Park, NJ. Kelsey Oakes Bisson practices in Midland Park, NJ and has the professional credentials of LCSW. The NPI Number for Kelsey Oakes Bisson is 1942740477 and holds a License No. 44SL05603300 (NJ). The current practice location address for Kelsey Oakes Bisson is 666 Godwin Ave Ste 300, Midland Park, NJ 07432-1463 and can be reached out via phone at 201-444-8110 and via fax at 201-444-8177.

Provider Profile Details

NPI Number
1942740477
Provider Name
Kelsey Oakes Bisson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
666 Godwin Ave Ste 300, Midland Park, NJ 07432-1463
Phone Number
201-444-8110
Fax Number
201-444-8177
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 2, 2017
Last Update Date
December 23, 2020
Certification Date
December 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
666 Godwin Ave Ste 300
Midland Park, NJ 07432-1463
Zip
07432-1463
Phone Number
201-444-8110
Fax Number
201-444-8177
Midland Park, NJ 07432Get directions →

Provider Business Mailing Address Details

Address
666 Godwin Ave Ste 300
Midland Park, NJ 07432-1463
City
Midland Park
State
NJ
Zip
07432-1463
Phone Number
201-444-8110
Fax Number
201-444-8177

License Information

License Number (1)
44SL05603300
License State (1)
NJ
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
44SC05774700
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 Kelsey O Bisson, LCSW?

The NPI number of Kelsey O Bisson, LCSW is 1942740477. It was assigned on March 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Kelsey O Bisson, LCSW?

Kelsey O Bisson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL05603300.

Where does Kelsey O Bisson, LCSW practice?

The practice location is 666 Godwin Ave Ste 300, Midland Park, NJ 07432-1463. The office can be reached at 201-444-8110 (phone) or 201-444-8177 (fax).

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 1942740477 directly on the NPPES registry website.

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