Individual
ANNA KELLY
Active
Individual
ANNA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00370500
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06086500
NJ
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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