Individual provider · Type 1 NPI

Kellie Madison Vaughn, LSW, LMSW

Clinical Social Worker · Woodcliff Lake, NJ

NPI number 1104674779 Active

Practice location

595 Chestnut Ridge Rd Ste 4
Woodcliff Lake, NJ 07677-7667

Call (551) 368-0307 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X44SL07280400 (NJ)
Social Worker 104100000X128018 (NY)
Clinical Social Worker Primary 1041C0700X44SL07280400 (NJ)

Clinical Social Worker: 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 interpers…

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About NPI 1104674779

Kellie Madison Vaughn, LSW, LMSW's National Provider Identifier is 1104674779, issued on May 9, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodcliff Lake, NJ. The record was last updated on Aug 20, 2025.