MS. KELLY LYNN STOLBERG


Address: 253 Witherspoon St, Eating Disorders Program, Princeton, NJ 08540-3211
Phone: 6094974000

MS. KELLY LYNN STOLBERG (NPI# 1497902209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497902209
Entity Type Individual
Full Name MS. KELLY LYNN STOLBERG
Credential LCSW
Practice Address 253 Witherspoon St
Eating Disorders Program
Princeton
NJ 08540-3211
Practice Telephone 6094974000
Practice Fax Number 6094974412
Mailing Telephone 6094974000
Mailing Fax Number 6094974412
Enumeration Date 2008-08-22
Last Update Date 2010-12-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 44SL05505400 NJ Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
44SC05445400 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 253 WITHERSPOON ST
EATING DISORDERS PROGRAM
City PRINCETON
State NJ
Zip Code 08540-3211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306823778 Andrew Hanyoung Kim Anesthesiology 253 Witherspoon St, Princeton Anesthesia Services, Princeton, NJ 08540-3211 2005-12-28
1083955967 Caitlin M Werther Nurse Practitioner 253 Witherspoon St, Princeton, NJ 08540-3211 2013-03-03
1932468014 Maggie Moran Counselor 253 Witherspoon St, Princeton, NJ 08540-3211 2012-05-10
1841559937 Veronika Papp Social Worker 253 Witherspoon St, Princeton, NJ 08540-3211 2012-05-09
1710252382 Elizabeth Moore Dietitian, Registered 253 Witherspoon St, Princeton, NJ 08540-3211 2012-03-15
1457654691 Jennifer Windish Dietitian, Registered 253 Witherspoon St, Princeton, NJ 08540-3211 2010-12-09
1043544182 Rachel Huber Dietitian, Registered 253 Witherspoon St, Princeton, NJ 08540-3211 2009-09-22
1114251436 Allison Tara Lansky Counselor 253 Witherspoon St, Princeton, NJ 08540-3211 2009-09-21
1770817090 Margo Leigh Hurewitz Psychologist 253 Witherspoon St, Princeton, NJ 08540-3211 2009-09-21
1477796811 Jennifer Grantham Erskine Internal Medicine 253 Witherspoon St, Lambert House 2nd Floor, Princeton, NJ 08540-3211 2009-04-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003420613 Samantha Beatriz Manzano Pharmacist 301 N Harrison Street, Princeton, NJ 08540 2020-09-01
1306485768 Allies, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 414 Freedom Blvd, Princeton, NJ 08540 2020-01-03
1124667589 Allies, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 415 Freedom Blvd, Princeton, NJ 08540 2020-01-03
1215576673 Allies, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 416 Freedom Blvd, Princeton, NJ 08540 2020-01-03
1508405929 Allies, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 411 Freedom Blvd, Princeton, NJ 08540 2020-01-02
1992369698 Suzanne Haggerty Social Worker 716 Executive Drive, Princeton, NJ 08540 2019-04-28
1700349552 Pdp Associates LLC Social Worker 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 2019-04-09
1245722438 Kyle Bonner Social Worker 166 Bunn Dr Ste 105, Princeton, NJ 08540 2018-06-04
1942700125 Lifetouch Behavioral Health, LLC Community/Behavioral Health 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 2018-02-14
1912407271 Princeton Psychiatry & Consulting, LLC Psychiatry & Neurology 601 Ewing St, Suite C-10, Princeton, NJ 08540 2018-02-13
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790327534 Emily Rudofsky Social Worker 20 Nassau St Ste 413, Princeton, NJ 08542-4505 2019-10-14
1104482934 Sara N Scruggs Social Worker 28 E Marion St Ste 5, Princeton, IL 61356-2098 2019-05-16
1992369698 Suzanne Haggerty Social Worker 716 Executive Drive, Princeton, NJ 08540 2019-04-28
1306409933 Susan Ernst Social Worker 1212 S Church St, Princeton, IL 61356-2426 2019-04-18
1700349552 Pdp Associates LLC Social Worker 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 2019-04-09
1417425075 Lisa Canzano Social Worker 20 Nassau St Ste 243, Princeton, NJ 08542-4547 2018-11-12
1518440692 Carrie Phillips Social Worker 13 Gregory Hill Rd, Princeton, MA 01541-1101 2018-09-13
1245722438 Kyle Bonner Social Worker 166 Bunn Dr Ste 105, Princeton, NJ 08540 2018-06-04
1720578768 Tiffany Chivlare Social Worker 320 S 5th Ave, Princeton, IN 47670-3519 2018-05-15
1033606942 Tlp Consulting Group, LLC Social Worker 245 Nassau St # C, Princeton, NJ 08540-4600 2018-04-16
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Competitor

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City PRINCETON
Zip Code 08540

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Dataset Information

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.

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