Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie H Medendorp, LSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588163158

Kellie H Medendorp, LSW is an Addiction (Substance Use Disorder) Counselor in Fort Washington, Pennsylvania. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

1035 Virginia Dr Ste 130
Fort Washington, PA 19034-3103
Phone: (610) 745-4717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1588163158
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedFebruary 8, 2018
Last updated in NPPESFebruary 8, 2018

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