Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN DALE KELLY, MSW, LCADC, LCSW
Active Sole ProprietorSocial Worker · SPRING LAKE, NJ
Registration Details
- NPI Number
- 1770956617
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2015 (10.505387135698 yrs)
- Last Updated
- Nov 30, 2018
- Licenses
-
054613-1 (NY)44SL05855300 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
524 BRIGHTON AVESPRING LAKE, NJ, 077621561Browse NJ providers · Browse ZIP 07762
- Phone
- 7326848763
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Other Social Worker Providers in SPRING LAKE, NJ
| Name | Credential | NPI |
|---|---|---|
| LYNN PALUMBO | LCSW | 1770590572 |
| JESSICA M COWAN | LSW | 1639884216 |
| ALEXANDRA FLANDERS | — | 1437024437 |
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.