Kaylyn Bettencourt
Individual provider Active NPI Social Worker · Stirling, NJ
NPI 1316822653 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1316822653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 44SL06956600 (NJ)
- Practice address
- 1390 Valley Rd Ste 1F
Stirling, NJ 07980-1346 - Phone
- (908) 809-9463
- NPI assigned
- Aug 6, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06956600 | NJ | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06956600 | NJ | Yes |
Addresses
Primary practice location
1390 Valley Rd Ste 1F
Stirling, NJ 07980-1346
Mailing address
1390 Valley Rd Ste 1F
Stirling, NJ 07980-1346
Other providers in Stirling, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.