Kelly Paige Siegel McGinnis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05670100 Issued in NJ

Practice address

304 Newton Ave
Oaklyn, NJ 08107-1446

Phone

(267) 270-5638

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kelly Paige Siegel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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  • NPI 1225792872
  NPD (past)
• Equilibria Psychological and Consultation Services, LLC

  • Clinical Psychologist
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  • NPI 1356454045
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1083976591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 NEWTON AVE",
            "city": "OAKLYN",
            "state": "NJ",
            "postal_code": "081071446",
            "telephone_number": "267-270-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 NEWTON AVE",
            "city": "OAKLYN",
            "state": "NJ",
            "postal_code": "081071446",
            "telephone_number": "267-270-5638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 S 4th St",
            "address_2": "Ste. 471",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191471570",
            "country_code": "US",
            "telephone_number": "267-861-3685",
            "fax_number": "215-965-1513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "KELLY",
        "middle_name": "PAIGE SIEGEL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015787",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05670100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SIEGEL",
            "middle_name": "PAIGE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krystle Krystalia Kougias, LAC
• Leana Sykes Relationship Counseling
• Lori Ann Linson, LPC
• Yuko H Martin, MA, MT-BC, LPC
• Mastering Milestones
• Elizabeth Meller
• Danielle Denise Mikol, LPC
• Shakea Miller
• Miracles LLC
• Miracles LLC

• Clinical Social Worker in Oaklyn, NJ
• Providers in Oaklyn, 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 Mar 14, 2019; 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.