Individual
MS. AMANDA ASHLEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1049 BROADWAY STE 2, WEST LONG BRANCH, NJ 07764-1335
(732) 693-4008
Mailing address
1049 BROADWAY STE 2, WEST LONG BRANCH, NJ 07764-1335
(732) 693-4008
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06398500
NJ
1041C0700X
Clinical Social Worker
44SC05980400
NJ
1041C0700X
Clinical Social Worker
Primary
8016
TN
Other
Enumeration date
08/08/2018
Last updated
03/20/2026
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