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MR. KHALID TELLIS
NPI 1063350932
Social Worker in South Orange, NJ

Active since March 23, 2026
111 S ORANGE AVE STE 24, SOUTH ORANGE, NJ 07079(973) 436-6605 Get Directions Write a Review

NPPES record last updated: April 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2026, Mar 23, 2026 (2 updates tracked since 2026).

About Mr. Khalid Tellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KHALID TELLIS (NPI 1063350932) is an individual social worker in South Orange, New Jersey, licensed in New Jersey (44SL07297400) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1063350932
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. KHALID TELLIS
Location Address111 S ORANGE AVE STE 24South Orange, NJ 07079-1931
Mailing Address71 Norman RdNewark, NJ 07106-2808
Phone(973) 436-6605
Sole ProprietorNo
Enumeration DateMarch 23, 2026
Last NPPES UpdateApril 4, 20262 updates tracked since enumeration
NPPES CertifiedApril 4, 2026
✔ NPI 1063350932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NJ · 44SL07297400
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
111 S ORANGE AVE STE 24, South Orange, NJ 07079
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AMY C. COX-MARTINS LCSW
Social Worker (Clinical)
111 S ORANGE AVE STE 24
SOUTH ORANGE, NJ 07079
Essex County (201) 725-4972
MS. NINA LERNER L.C.S.W.
Social Worker (Clinical)
111 S ORANGE AVE STE 24
SOUTH ORANGE, NJ 07079
Essex County (973) 379-2433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khalid Tellis's NPI number?

The NPI number for Khalid Tellis is 1063350932. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Khalid Tellis located?

Khalid Tellis practices at 111 S Orange Ave Ste 24, South Orange, NJ 07079. The listed phone number is (973) 436-6605.

What is Khalid Tellis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Khalid Tellis was last updated on April 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.