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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLIE MADISON VAUGHN, LSW, LMSW

Active

KELLIE MADISON VAUGHN, LSW, LMSW is a Clinical Social Worker healthcare provider located in WOODCLIFF LAKE, New Jersey. NPI 1104674779 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WOODCLIFF LAKE, NJ

Registration Details

NPI Number
1104674779
Provider Type
Individual
Gender
Female
NPI Issued
May 9, 2024 (2.2434953530067 yrs)
Last Updated
Aug 20, 2025
Licenses
44SL07280400 (NJ)
128018 (NY)
44SL07280400 (NJ)

Practice Information

Address
595 CHESTNUT RIDGE RD STE 4
WOODCLIFF LAKE, NJ, 076777667
Browse NJ providers · Browse ZIP 07677
Phone
5513680307
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in WOODCLIFF LAKE, NJ

Name Credential NPI
DWIGHT DAVID PANOZZO LCSW 1558383851
MS. RITA T. CELLA-RESESKA LCSW, LCADC, DVS 1669581245
GABRIELLE STEIN 1871789677
MRS. MICHELLE FREEDBERG LCSW 1881984417
KARIN WILLIAMS LCSW 1760769061
MR. DREW K LOSAK LCSW 1366712457
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.