Kelly Ann Dauenheimer, LSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06114300 Issued in NJ

Practice address

13 Rock Rd
West Milford, NJ 07480-4014

Phone

(973) 919-5247

NPI assigned

Sep 29, 2017

Last updated

Nov 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1083123392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ROCK RD",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074804014",
            "telephone_number": "973-919-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ROCK RD",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074804014",
            "telephone_number": "973-919-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUENHEIMER",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "LSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06300000",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009922172",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06114300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Expo LLC (Beloved Pediatric Therapy)
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• Complete Care at Milford Manor LLC
• Olivia A Connell
• Lauren Culkin, M.S. CCC-SLP
• Katelyn Daymon
• Kenneth James Debaun, RPH
• Cathy Della Pesca, LCSW
• Luis Francisco Delorbe, CSW, MPA
• Department of Special Education of the Roman Catholic Diocese of Pater (Department for Persons with Disabilities, Diocese of Paterson)

• Clinical Social Worker in West Milford, NJ
• Providers in West Milford, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.