Kelly A Smith-Pampin, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06529400 Issued in NJ

Practice address

112 Main Rd Ste 2
Montville, NJ 07045-9777

Phone

(973) 794-6888

NPI assigned

Oct 22, 2021

Last updated

Oct 22, 2021By 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 1

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": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1245994698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HERITAGE DR",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712541",
            "telephone_number": "201-819-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAIN RD STE 2",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459777",
            "telephone_number": "973-794-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-PAMPIN",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06529400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suken H. Shah, MD
• Rachel Max Sicherman, L.C.S.W.
• Surbparkash Kaur Singh, M.D.
• Sirike T Aasmaa DO PA
• Ryan Patrick Skripak, D.P.T.
• Susan Smith
• Hetal Sojitra, PT, DPT
• David M Solomon, DDS
• Jacqueline Sousa, BCBA
• Special Eyes

• Social Worker in Montville, NJ
• Providers in Montville, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.