Brynn Kelley
Individual provider Active NPI Social Worker · Vineland, NJ
NPI 1003768052 · NPPES record last updated Feb 12, 2026
Key facts
- NPI
- 1003768052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 44SL07279500 (NJ)
- Practice address
- 739 S West Ave
Vineland, NJ 08360-5101 - Phone
- (877) 922-2377
- NPI assigned
- Feb 12, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL07279500 | NJ | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL07279500 | NJ | Yes |
Addresses
Primary practice location
739 S West Ave
Vineland, NJ 08360-5101
Mailing address
739 S West Ave
Vineland, NJ 08360-5101
Phone (877) 922-2377
NPI Registry JSON
{
"created_epoch": "1770854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1003768052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 S WEST AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083605101",
"telephone_number": "877-922-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 S WEST AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083605101",
"telephone_number": "877-922-2377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "BRYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-12",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL07279500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.