Kelly Clare Canzone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05283700 Issued in NJ

Practice address

4 Mayfair LN
Byram Township, NJ 07821-3534

Phone

(201) 400-7702

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Tri-County Behavioral Care, LLC

  • Clinical Social Worker
  • Sparta, NJ
  • NPI 1750732350
  NPD Authorized official

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742688000000",
    "number": "1316992977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MAYFAIR LN",
            "city": "BYRAM TOWNSHIP",
            "state": "NJ",
            "postal_code": "078213534",
            "telephone_number": "201-400-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MAYFAIR LN",
            "city": "BYRAM TOWNSHIP",
            "state": "NJ",
            "postal_code": "078213534",
            "telephone_number": "201-400-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANZONE",
        "first_name": "KELLY",
        "middle_name": "CLARE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05283700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Active Edge Sports PT and Conditioning
• Capitol Care, Inc
• Capitol Care, Inc.
• Noha Eltaki
• Joanna Flora, LPAT, LCAT, LAC
• Foresight Genetics

• Clinical Social Worker in Byram Township, NJ
• Providers in Byram Township, 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 Mar 23, 2025; 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.