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

Kelly Gresko, LCSW

Individual provider Clinical Social Worker · NPI 1063885176

Kelly Gresko, LCSW is a Clinical Social Worker in Randolph, New Jersey. Licensed in New Jersey. Registered with an NPI since 2015.

Licensed in
NJ
In the registry since
2015
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

123 Morris Tpke
Randolph, NJ 07869-2931
Phone: (736) 647-6879
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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 44SC05527400 (NJ)

Record details

NPI number1063885176
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 11, 2015
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020
Mailing address123 Morris Tpke, Randolph, NJ 07869-2931

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