KELLY WALSH (NPI# 1063056802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063056802 |
| Entity Type | Individual |
| Full Name | KELLY WALSH |
| Credential | LSW |
| Practice Address |
120 Chestnut St Ridgewood NJ 07450-2504 |
| Mailing Address |
11 High St Apt 3r Nutley NJ 07110-1166 |
| Practice Telephone | 2014443550 |
| Mailing Telephone | 2013983038 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 44SL06505100 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810136 | Kelly Alaina Walsh | Student in an Organized Health Care Education/Training Program | 289 Elm St Apt 62c, Medford, MA 02155-1068 | 2020-01-13 |
| 1518210210 | Kelly L Walsh | Speech-Language Pathologist | 4810 Ivy Ridge Dr Se, Unit 306, Smyrna, GA 30080-6660 | 2012-10-18 |
| 1902838675 | Kelly Walsh | Social Worker | 8479 S. Mason Montgomery Road, Suite 4, Mason, OH 45040-4023 | 2006-07-06 |
| 1427692557 | Kelly Elizabeth Walsh | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2019-10-31 |
| 1225686934 | Kelly Walsh | Counselor | 115 Keating Dr, Belle Chasse, LA 70037-1629 | 2019-08-27 |
| 1790266195 | Kelly A Walsh | Occupational Therapist | 13900 Ne 3rd Ct, Miami, FL 33161-2834 | 2018-08-23 |
| 1013434927 | Kelly Ann Walsh | Nurse Practitioner | 317 E 34th St, New York, NY 10016-4974 | 2017-08-23 |
| 1790227858 | Kelly Walsh | Physical Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-11-07 |
| 1265989909 | Kelly Walsh | Registered Nurse | 24200 Chagrin Blvd, Beachwood, OH 44122 | 2016-09-09 |
| 1639533797 | Kelly Walsh | Behavioral Analyst | 150 Airport Rd Ste 1800, Lakewood, NJ 08701-6924 | 2016-04-05 |
| Street Address |
120 CHESTNUT ST |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912955196 | West Bergen Mentalhealthcare, Inc | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2006-05-04 |
| 1699374645 | Kimberly Samra | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2020-10-21 |
| 1760026900 | Kendall Marquard | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-10-31 |
| 1770127037 | Leighann Albanese | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-10-30 |
| 1689218943 | Danielle Chait | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-10-30 |
| 1275177651 | Asimina I Kremos | Social Worker | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-10-29 |
| 1639604085 | Carlo Alvare | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2017-04-24 |
| 1194115022 | Cory Birch | Counselor | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2015-01-30 |
| 1497187587 | Christopher Hellriegel | Social Worker | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2013-07-31 |
| 1154763951 | Mary E Davey | Social Worker | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2013-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950412 | Madalyn Marie Pinto | Social Worker | 140 Chestnut St Ste 202, Ridgewood, NJ 07450-2536 | 2020-10-21 |
| 1124684535 | Matthew Marco | Social Worker | 2052 Gates Ave, Ridgewood, NY 11385-3027 | 2019-05-13 |
| 1992270060 | So Mie Choo | Social Worker | 328 Stevens Ave, Ridgewood, NJ 07450-5204 | 2018-10-04 |
| 1750883245 | Alexa Courtney Pace | Social Worker | 1614 Weirfield St, Ridgewood, NY 11385-5350 | 2018-03-01 |
| 1801306964 | Laura Woodford | Social Worker | 486 Colonial Rd, Ridgewood, NJ 07450-3426 | 2017-10-03 |
| 1104346717 | Therese M Mierswa | Social Worker | 439 Hillcrest Rd, Ridgewood, NJ 07450-1520 | 2017-06-24 |
| 1598211617 | Anthony Dimitrion | Social Worker | 589 Franklin Tpke Ste 8a, Ridgewood, NJ 07450-1928 | 2016-08-29 |
| 1710371364 | Debra A. Ann Hoffmann | Social Worker | 6708 64th St, Apt 2 Lt, Ridgewood, NY 11385-4632 | 2015-03-22 |
| 1144576687 | Mariana Nashaat Youssef | Social Worker | 706 Woodward Ave, Apartment 2l, Ridgewood, NY 11385-2925 | 2012-08-02 |
| 1134492366 | Lucy Pecorella | Social Worker | 360 Onderdonk Ave, Ridgewood, NY 11385-1321 | 2012-02-19 |
| Find all providers in RIDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.