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

Individual provider Clinical Social Worker · NPI 1629592993

Kellie Illmensee, LCSW is a Clinical Social Worker in Middletown, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

268 Pelican Rd
Middletown, NJ 07748-3040
Phone: (732) 610-8396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05738600 (NJ)

Record details

NPI number1629592993
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 28, 2017
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address268 Pelican Rd, Middletown, NJ 07748-3040

Other providers in Middletown