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

MS. Kelly Dawn Kelly, LSW

Individual provider Social Worker · NPI 1356044820

MS. Kelly Dawn Kelly, LSW is a Clinical Social Worker in Englewood, New Jersey. Qualified in 2023, 3 years ago. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

41 Brownstone Way
Englewood, NJ 07631-1210
Phone: (914) 539-7090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SL06876400 (NJ)

Record details

NPI number1356044820
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedMarch 23, 2023
Last updated in NPPESMarch 24, 2023
Certification dateMarch 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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