Individual provider Active NPI

Alaina Marie Kelly, LCSW

  • Clinical Social Worker
  • Summit, NJ
National Provider Identifier
1184336885
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06608300 Issued in NJ
Practice address
69 Winchip Rd
Summit, NJ 07901-4142
Phone
(917) 626-4810
NPI assigned
Dec 14, 2022
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06608300 NJ Primary

Addresses

Primary practice location

69 Winchip Rd
Summit, NJ 07901-4142

Mailing address

69 Winchip Rd
Summit, NJ 07901-4142
Phone (917) 626-4810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260131000356 NJ Practitioner - Clinical Social Worker 9133607146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family Service of MetrowestGroup PAC ID 7911978093, 16 clinicians

Practice addresses (Care Compare)

30 A Vreeland Rd
Suite 301
Florham Park, NJ 07932-1904
Phone (973) 765-9050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06608300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Metrowest CurrentSince Jan 20, 2026 Accepting new patients
Jewish Family Service of Metrowest CurrentSince Jan 20, 2026 Accepting new patients

Locations

256 Columbia Tpke
Ste 105
Florham Park, NJ 07932
Phone (973) 765-9050

30A Vreeland Rd
Ste 301
Florham Park, NJ 07932
Phone (973) 637-1706

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1184336885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WINCHIP RD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079014142",
            "telephone_number": "917-626-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WINCHIP RD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079014142",
            "telephone_number": "917-626-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ALAINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06608300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.