KELLY SULLIVAN
NPI 1962075069
Social Worker in Collingswood, NJ

Active since July 19, 2021
24 LEES AVE, COLLINGSWOOD, NJ 08108(856) 240-0868 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Jul 19, 2021 (2 updates tracked since 2021).

About Kelly Sullivan NPPES

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

KELLY SULLIVAN (NPI 1962075069) is an individual social worker in Collingswood, New Jersey, licensed in New Jersey (44SC06457800) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1962075069
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLY SULLIVAN
Location Address24 LEES AVECollingswood, NJ 08108-2070
Mailing Address24 Lees AveCollingswood, NJ 08108-2070 · (856) 240-0868
Sole ProprietorNo
Enumeration DateJuly 19, 2021
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1962075069 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 · 44SC06457800
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.
24 LEES AVE, Collingswood, NJ 08108

Other Providers at the Same Location NPPES 10

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

Social Worker (Clinical)
24 LEES AVE
COLLINGSWOOD, NJ 08108
Social Worker (Clinical)
24 LEES AVE
COLLINGSWOOD, NJ 08108
Social Worker
24 LEES AVE
COLLINGSWOOD, NJ 08108
Counselor (Professional)
24 LEES AVE
COLLINGSWOOD, NJ 08108
Social Worker (Clinical)
24 LEES AVE
COLLINGSWOOD, NJ 08108
Counselor (Professional)
24 LEES AVE
COLLINGSWOOD, NJ 08108
Counselor (Mental Health)
24 LEES AVE
COLLINGSWOOD, NJ 08108
Occupational Therapist
24 LEES AVE
COLLINGSWOOD, NJ 08108

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 Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1962075069. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 24 Lees Ave, Collingswood, NJ 08108. The listed phone number is (856) 240-0868.

What is Kelly Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.