KELLY ANN RAFTER-KWORTNIK (NPI# 1962031773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962031773 |
| Entity Type | Individual |
| Full Name | KELLY ANN RAFTER-KWORTNIK |
| Credential | LAC |
| Practice Address |
160 Atlantic City Blvd Bayville NJ 08721-1229 |
| Mailing Address |
1173 Laurel Dr Toms River NJ 08753-3173 |
| Practice Telephone | 7323495550 |
| Mailing Telephone | 7325577104 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37AC00338300 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
160 ATLANTIC CITY BLVD |
| City | BAYVILLE |
| State | NJ |
| Zip Code | 08721-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154359032 | Justine A. Harris | Social Worker | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2006-06-29 |
| 1194348482 | Melissa Delizia | Social Worker | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2020-05-21 |
| 1346861093 | Anjelica Michele Webber | Social Worker | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2020-05-05 |
| 1982255337 | Vincent Ruiz Jr. | Counselor | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2019-09-26 |
| 1205325768 | Breanna Mariah Wood | Licensed Practical Nurse | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2018-05-09 |
| 1861932030 | Stephanie Derosa | Counselor | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2017-03-07 |
| 1457725483 | Lynette Leming Houle | Social Worker | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2015-11-13 |
| 1841669215 | Kimberly Lada | Counselor | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2015-09-16 |
| 1437542404 | Nicole Sullivan | Counselor | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2015-03-14 |
| 1780089326 | Kathleen Cowles | Nurse Practitioner | 160 Atlantic City Blvd, Bayville, NJ 08721 | 2014-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306491469 | Caps Off LLC | Case Management | 6 Toppinglift Drive, Bayville, NJ 08721 | 2019-08-06 |
| 1336610682 | Edmond Osei Kankam | Pharmacist | 416 U.s 9, Bayville, NJ 08721 | 2018-12-16 |
| 1881083483 | Richard Foster II | Emergency Medical Technician, Basic | 660 Atlantic City Blvd, Bayville, NJ 08721 | 2015-01-20 |
| 1346640299 | Bayville First Aid Squad | Ambulance | 660 Route 9, Bayville, NJ 08721 | 2014-08-28 |
| 1982003893 | A-one Dental of Bayville LLC | Dentist | 800 Atlantic City Blvd, Bayville, NJ 08721 | 2014-08-15 |
| 1396028098 | Jaime Borrelli | Social Worker | 160 Rt 9, Bayville, NJ 08721 | 2011-09-20 |
| 1225348717 | Garret W Henshaw | Specialist/Technologist | Forest Hills Parkway, Bayville, NJ 08721 | 2010-10-18 |
| 1174839518 | Kenneth Zalenski | Pharmacist | 419 Atlantic City Blvd, Bayville, NJ 08721 | 2010-08-24 |
| 1154659324 | Norman Santo-domingo | Pediatrics | 800 Rte 9, Ste 4, Bayville, NJ 08721 | 2009-11-30 |
| 1700055670 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 400 Route 9, Bayville, NJ 08721 | 2008-02-26 |
| Find all providers in zip 08721 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629411475 | Craig L Conway | Counselor | 46 Marlin Ct, Bayville, NJ 08721-2465 | 2013-04-11 |
| 1831300086 | Juneau Mahan Gary | Counselor | 32 Bowsprit Dr, Bayville, NJ 08721-1400 | 2007-05-26 |
| 1225592892 | Danielle M Thompson | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2019-01-28 |
| 1861932030 | Stephanie Derosa | Counselor | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2017-03-07 |
| 1891155180 | Monique Gabriele | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2016-02-29 |
| 1437542404 | Nicole Sullivan | Counselor | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2015-03-14 |
| 1487095477 | Kim Class | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2013-07-08 |
| 1003159724 | Christine Mcgowan | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2013-04-01 |
| 1396081022 | Deanne Gettis | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2012-12-28 |
| 1346586500 | Lisa M Miller-samber | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2012-12-17 |
| Find all providers in BAYVILLE | ||||
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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.