KELLIE MADISON VAUGHN LSW, LMSW
NPI 1104674779
Social Worker - Clinical in Woodcliff Lake, NJ

Active since May 09, 2024
595 CHESTNUT RIDGE RD STE 4, WOODCLIFF LAKE, NJ 07677(551) 368-0307 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, May 9, 2024 (2 updates tracked since 2024).

About Kellie Madison Vaughn Lsw, Lmsw NPPES

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

KELLIE MADISON VAUGHN LSW, LMSW (NPI 1104674779) is an individual clinical provider in Woodcliff Lake, New Jersey, licensed in New Jersey (44SL07280400) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1104674779
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLIE MADISON VAUGHNCredential: LSW, LMSW
Location Address595 CHESTNUT RIDGE RD STE 4Woodcliff Lake, NJ 07677-7667
Mailing Address595 Chestnut Ridge Rd Ste 4Woodcliff Lake, NJ 07677-7667
Sole ProprietorNo
Enumeration DateMay 9, 2024
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
NPI 1104674779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NJ · 44SL07280400
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 44SL07280400 (NJ), 128018 (NY)
595 CHESTNUT RIDGE RD STE 4, Woodcliff Lake, NJ 07677

Other Providers at the Same Location NPPES 15

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

Counselor (Professional)
595 CHESTNUT RIDGE RD STE 4
WOODCLIFF LAKE, NJ 07677
Counselor (Professional)
595 CHESTNUT RIDGE RD STE 4
WOODCLIFF LAKE, NJ 07677
Social Worker (Clinical)
595 CHESTNUT RIDGE RD STE 4
WOODCLIFF LAKE, NJ 07677
Counselor (Professional)
595 CHESTNUT RIDGE RD STE 4
WOODCLIFF LAKE, NJ 07677
Psychiatry & Neurology (Psychiatry)
595 CHESTNUT RIDGE RD STE 4
WOODCLIFF LAKE, NJ 07677
Counselor (Professional)
595 CHESTNUT RIDGE RD STE 4
WOODCLIFF LAKE, NJ 07677
Psychologist (Clinical)
595 CHESTNUT RIDGE RD STE 4
WOODCLIFF LAKE, NJ 07677
Social Worker (Clinical)
595 CHESTNUT RIDGE RD STE 4
WOODCLIFF LAKE, NJ 07677

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 Kellie Vaughn's NPI number?

The NPI number for Kellie Vaughn is 1104674779. It was assigned to this individual provider in the NPPES registry on May 9, 2024.

Where is Kellie Vaughn located?

Kellie Vaughn practices at 595 Chestnut Ridge Rd Ste 4, Woodcliff Lake, NJ 07677. The listed phone number is (551) 368-0307.

What is Kellie Vaughn'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 Kellie Vaughn was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.