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MS. KELLY DAWN KELLY LSW
NPI 1356044820
Social Worker in Englewood, NJ

Active since March 23, 2023PECOS Enrolled
41 BROWNSTONE WAY, ENGLEWOOD, NJ 07631(914) 539-7090 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kelly Dawn Kelly Lsw NPPES

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

MS. KELLY DAWN KELLY LSW (NPI 1356044820) is an individual social worker in Englewood, New Jersey, licensed in New Jersey (44SL06876400) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356044820
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. KELLY DAWN KELLYCredential: LSW
Location Address41 BROWNSTONE WAYEnglewood, NJ 07631-1210
Mailing Address2360 Route 33 Ste 112-219Robbinsville, NJ 08691-1415 · (914) 539-7090
Phone(914) 539-7090
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 23, 2023
Last NPPES UpdateMarch 24, 2023
NPPES CertifiedMarch 23, 2023
✔ NPI 1356044820 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 · 44SL06876400
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.
41 BROWNSTONE WAY, Englewood, NJ 07631
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelly Dawn Kelly Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668953050
PECOS Enrollment IDI20260224003495
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kelly's NPI number?

The NPI number for Kelly Kelly is 1356044820. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Kelly Kelly located?

Kelly Kelly practices at 41 Brownstone Way, Englewood, NJ 07631. The listed phone number is (914) 539-7090.

What is Kelly Kelly's specialty?

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

Is Kelly Kelly enrolled in Medicare?

Yes. Kelly Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Kelly was last updated on March 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.