Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE ILLMENSEE, LCSW
Deactivated Sole ProprietorKELLIE ILLMENSEE, LCSW is a Clinical Social Worker healthcare provider located in MIDDLETOWN, New Jersey. NPI 1629592993 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · MIDDLETOWN, NJ
This NPI has been deactivated.
The record was deactivated on December 28, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1629592993
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2017 (0.41917808219178 yrs)
- Last Updated
- Oct 16, 2025
- Deactivated
- Dec 28, 2017
- License
-
44SC05738600 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
268 PELICAN RDMIDDLETOWN, NJ, 077483040Browse NJ providers · Browse ZIP 07748
- Phone
- 7326108396
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MIDDLETOWN, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. DOMINIC LEONARD SCOTTO | LCSW | 1144262312 |
| MRS. MARGARET SMITH MINDELL | LCSW | 1548379050 |
| MR. JEFFREY STANLEY SOFFER | LCSW | 1417014416 |
| LORA SASIELA | LCSW | 1174651426 |
| MRS. JOANNE CAHILL | MSW, LCSW, CPS | 1871810333 |
| CARISSA BAVOSI | LCSW | 1386904944 |
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.