KELLY KOELLER LCSW
NPI 1639473465
Social Worker - Clinical in Somerville, NJ

Active since January 09, 2011
110 REHILL AVE, SOMERVILLE, NJ 08876(908) 203-5961 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Koeller Lcsw NPPES

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

KELLY KOELLER LCSW (NPI 1639473465) is an individual clinical provider in Somerville, New Jersey, licensed in New Jersey (44SC05693300) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1639473465
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY KOELLERCredential: LCSW
Location Address110 REHILL AVESomerville, NJ 08876-2519
Mailing AddressPo Box 834Saddle River, NJ 07458-0834
Sole ProprietorNo
Enumeration DateJanuary 9, 2011
Last NPPES UpdateNovember 14, 2016
NPI 1639473465 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 · 44SC05693300
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.
110 REHILL AVE, Somerville, NJ 08876

Other Names 1

Former Name (1)Kelly Hansen Lcsw

Other Providers at the Same Location NPPES 20

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

General Acute Care Hospital
110 REHILL AVE
SOMERVILLE, NJ 08876
Physician Assistant
110 REHILL AVE
SOMERVILLE, NJ 08876
Physical Therapist
110 REHILL AVE
SOMERVILLE, NJ 08876
Student in an Organized Health Care Education/Training Program
110 REHILL AVE
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876
Emergency Medicine
110 REHILL AVE, SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
Peer Specialist
110 REHILL AVE
SOMERVILLE, NJ 08876

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 Koeller's NPI number?

The NPI number for Kelly Koeller is 1639473465. It was assigned to this individual provider in the NPPES registry on January 9, 2011. The provider is also known as Kelly Hansen Lcsw.

Where is Kelly Koeller located?

Kelly Koeller practices at 110 Rehill Ave, Somerville, NJ 08876. The listed phone number is (908) 203-5961.

What is Kelly Koeller'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 Koeller was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.