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KELLY REDKOLES
NPI 1578786240
Social Worker - Clinical in West Deptford, NJ

Active since April 11, 2007Opted out of Medicare · through Dec 11, 2027
901 MANTUA PIKE, BLDG A SUITE 103, WEST DEPTFORD, NJ 08096(856) 294-6711 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Redkoles NPPES

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

KELLY REDKOLES (NPI 1578786240) is an individual clinical provider in West Deptford, New Jersey, licensed in New Jersey (44SC05386600) and active in the NPI registry since April 2007. She has opted out of Medicare through December 11, 2027.

NPPES Registry Identity

NPI1578786240
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY REDKOLES
Location Address901 MANTUA PIKE, BLDG A SUITE 103West Deptford, NJ 08096
Mailing Address119 Wheatley BlvdMullica Hill, NJ 08062-9605 · (856) 889-5902
Phone(856) 294-6711
Sole ProprietorNo
Enumeration DateApril 11, 2007
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1578786240 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 · 44SC05386600
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 44SL05393200 (NJ)
901 MANTUA PIKE, West Deptford, NJ 08096
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kelly Redkoles has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 11, 2023 through December 11, 2027.

Opt-Out Effective DateDecember 11, 2023
Opt-Out In Effect ThroughDecember 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

ALICIA HELEN CAMPBELL LPC
Counselor (Mental Health)
901 MANTUA PIKE
WOODBURY, NJ 08096
Gloucester County (856) 904-5994
UNSTUCK THERAPY
Social Worker (Clinical)
901 MANTUA PIKE
WEST DEPTFORD, NJ 08096
Gloucester County (856) 889-5902

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 Redkoles's NPI number?

The NPI number for Kelly Redkoles is 1578786240. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Kelly Redkoles located?

Kelly Redkoles practices at 901 Mantua Pike Bldg A Suite 103, West Deptford, NJ 08096. The listed phone number is (856) 294-6711.

What is Kelly Redkoles's specialty?

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

Is Kelly Redkoles enrolled in Medicare?

No. Kelly Redkoles has opted out of Medicare through December 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelly Redkoles accept?

Health plans from Providence Health Plan list Kelly Redkoles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Redkoles was last updated on March 31, 2021. 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.