Kelli A Wade, MSW, LCSW
Social Worker, Clinical in Deptford, NJ. Individual provider (NPI-1).
NPI number1003636424
StatusActive
Last updated in NPPESOct 10, 2024
Details
- NPI
- 1003636424
- Entity type
- Individual (NPI-1)
- Name
- Kelli A Wade
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2024
- Certification date
- Oct 10, 2024
- Last updated
- Oct 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05480400 | NJ | Yes |
Practice location
Po Box 5026Deptford, NJ 08096
Phone 856-816-6315
Mailing address
Po Box 5026Deptford, NJ 08096
Phone 856-816-6315
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Deptford, NJ
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