Active NPI
Kelcy Marie McGeehan
- Clinical Social Worker
- Brick, NJ
National Provider Identifier
1285348029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06132200
- Practice address
- 445 Brick Blvd Ste 204
Brick, NJ 08723-6079 - Phone
- (848) 235-7535
- NPI assigned
- Jan 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06132200 | NJ | Primary |
Addresses
Primary practice location
445 Brick Blvd Ste 204
Brick, NJ 08723-6079
Mailing address
26 Pacific Ave
Bayville, NJ 08721-2453
Phone (732) 691-5242
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ashleigh@amdbillingsolutions.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06132200 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CPC Behavioral Healthcare, Inc | Current | Accepting new patients | |
| CPC Integrated Health, Inc. | Current | Accepting new patients |
Locations
10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220
22 Court St
Freehold, NJ 07728
Phone (732) 780-7387
1088 State Route 34
Matawan, NJ 07747
Phone (732) 290-1700
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Matawan, NJ
- NPI 1912036120
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Red Bank, NJ
- NPI 1366497356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1285348029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 PACIFIC AVE",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "087212453",
"telephone_number": "732-691-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 BRICK BLVD STE 204",
"city": "BRICK",
"state": "NJ",
"postal_code": "087236079",
"telephone_number": "848-235-7535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEEHAN",
"first_name": "KELCY",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06132200",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ashleigh@amdbillingsolutions.com",
"affiliation": "N",
"endpointDescription": "Ashleigh;billing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Billing",
"address_1": "445 Brick Blvd Ste 204",
"city": "Brick",
"state": "NJ",
"country_code": "US",
"postal_code": "087236079",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.