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

Mr. Khalid Tellis

Individual provider Social Worker · NPI 1063350932

Mr. Khalid Tellis is a Social Worker in South Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2026.

Licensed in
NJ
In the registry since
2026

Practice location Address checks out

111 S Orange Ave Ste 24
South Orange, NJ 07079-1931
Phone: (973) 436-6605
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SL07297400 (NJ)

Record details

NPI number1063350932
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2026
Last updated in NPPESApril 4, 2026
Certification dateApril 4, 2026
Mailing address71 Norman Rd, Newark, NJ 07106-2808

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