Individual provider · Type 1 NPI

Kelly Koeller, LCSW

Clinical Social Worker · Somerville, NJ

NPI number 1639473465 Active

Practice location

110 Rehill Ave
Somerville, NJ 08876-2519

Call (908) 203-5961 Map

Mailing address

PO Box 834
Saddle River, NJ 07458-0834

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05693300 (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 1639473465

Kelly Koeller, LCSW's National Provider Identifier is 1639473465, issued on Jan 9, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Somerville, NJ. The record was last updated on Nov 14, 2016.