Individual provider · Type 1 NPI

Kelly Redkoles

Clinical Social Worker · West Deptford, NJ

NPI number 1578786240 Active

Practice location

901 Mantua Pike, Bldg A Suite 103
West Deptford, NJ 08096

Mailing address

119 Wheatley Blvd
Mullica Hill, NJ 08062-9605

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X44SL05393200 (NJ)
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700X44SC05386600 (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 1578786240

Kelly Redkoles's National Provider Identifier is 1578786240, issued on Apr 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Deptford, NJ. The record was last updated on Mar 31, 2021.