Active NPIIndividual provider

Kelly Sullivan

Social Worker in Collingswood, New Jersey

NPI Number1962075069
Practice location
24 Lees Ave, Collingswood, NJ 08108-2070
Fax
—
Last updated
January 28, 2026

Kelly Sullivan is a Social Worker based in Collingswood, NJ. Kelly Sullivan practices in Collingswood, NJ. The NPI Number for Kelly Sullivan is 1962075069 and holds a License No. 44SC06457800 (NJ). The current practice location address for Kelly Sullivan is 24 Lees Ave, Collingswood, NJ 08108-2070 and can be reached out via phone at 856-240-0868.

Provider Profile Details

NPI Number
1962075069
Provider Name
Kelly Sullivan
Provider Entity Type
Individual
Gender
Female
Address
24 Lees Ave, Collingswood, NJ 08108-2070
Phone Number
856-240-0868
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2021
Last Update Date
January 28, 2026
Certification Date
January 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Lees Ave
Collingswood, NJ 08108-2070
Zip
08108-2070
Phone Number
856-240-0868
Collingswood, NJ 08108Get directions →

Provider Business Mailing Address Details

Address
24 Lees Ave
Collingswood, NJ 08108-2070
City
Collingswood
State
NJ
Zip
08108-2070
Phone Number
856-240-0868

License Information

License Number
44SC06457800
License State
NJ
Taxonomy
Social Worker · 104100000X · 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 Sullivan?

The NPI number of Kelly Sullivan is 1962075069. It was assigned on July 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Kelly Sullivan?

Kelly Sullivan is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SC06457800.

Where does Kelly Sullivan practice?

The practice location is 24 Lees Ave, Collingswood, NJ 08108-2070. The office can be reached at 856-240-0868 (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 1962075069 directly on the NPPES registry website.

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