Kathleen Shelley, LCSW
Social Worker, Clinical in West Orange, NJ. Individual provider (NPI-1).
NPI number1023659331
StatusActive
Last updated in NPPESOct 8, 2019
Details
- NPI
- 1023659331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kathleen Shelley
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 8, 2019
- Last updated
- Oct 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05864800 | NJ | Yes |
Practice location
22 Robertson RdWest Orange, NJ 07052-3519
Phone 973-809-6574
Mailing address
22 Robertson RdWest Orange, NJ 07052-3519
Phone 973-809-6574
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