Kelly Canzone, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05283700 Issued in NJ

Legal business name

KELLY CANZONE, LCSW, LLC

Practice address

129 - 131 RT. 183 North
2ND Floor, Suite 2
Stanhope, NJ 07874

Phone

(973) 886-2222

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Clare Canzone, LCSW

Title

Owner

Phone

(973) 886-2222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124117007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W LAKE DR",
            "city": "STANHOPE",
            "state": "NJ",
            "postal_code": "078743018",
            "telephone_number": "973-886-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 - 131 RT. 183 NORTH",
            "address_2": "2ND FLOOR, SUITE 2",
            "city": "STANHOPE",
            "state": "NJ",
            "postal_code": "07874",
            "telephone_number": "973-886-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY CANZONE, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANZONE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "CLARE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-886-2222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05283700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Stanhope, NJ
• Providers in Stanhope, 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 Aug 22, 2020; 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.