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KELLY GRESKO LCSW
NPI 1063885176
Social Worker - Clinical in Randolph, NJ

Active since November 11, 2015
123 MORRIS TPKE, RANDOLPH, NJ 07869(736) 647-6879 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2020, Feb 21, 2017, Nov 11, 2015 (3 updates tracked since 2015).

About Kelly Gresko Lcsw NPPES

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

KELLY GRESKO LCSW (NPI 1063885176) is an individual clinical provider in Randolph, New Jersey, licensed in New Jersey (44SC05527400) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1063885176
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY GRESKOCredential: LCSW
Location Address123 MORRIS TPKERandolph, NJ 07869-2931
Mailing Address123 Morris TpkeRandolph, NJ 07869-2931 · (973) 664-7687
Phone(736) 647-6879
Sole ProprietorNo
Enumeration DateNovember 11, 2015
Last NPPES UpdateOctober 21, 20203 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1063885176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05527400
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
123 MORRIS TPKE, Randolph, NJ 07869
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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 Kelly Gresko's NPI number?

The NPI number for Kelly Gresko is 1063885176. It was assigned to this individual provider in the NPPES registry on November 11, 2015.

Where is Kelly Gresko located?

Kelly Gresko practices at 123 Morris Tpke, Randolph, NJ 07869. The listed phone number is (736) 647-6879.

What is Kelly Gresko's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelly Gresko was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.