Stefani Lauren Pelly, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06231500 Issued in NJ

Practice address

42 Delsea Dr S
Glassboro, NJ 08028-2621

Phone

(856) 881-8689

NPI assigned

Jun 21, 2019

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

Electronic endpoints 1

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1376104356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 CURRY AVE",
            "city": "WATERFORD WORKS",
            "state": "NJ",
            "postal_code": "080892101",
            "telephone_number": "856-905-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 DELSEA DR S",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282621",
            "telephone_number": "856-881-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLY",
        "first_name": "STEFANI",
        "middle_name": "LAUREN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06231500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Carelogic",
            "affiliation": "N",
            "endpointDescription": "Carelogic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "42 Delsea Dr S",
            "city": "Glassboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080282621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexis Jordyn Pastirko
• Jinal Patel, ARNP
• Pinal Patel, PA-C
• Ryan Vipulkumar Patel
• Vibhutiben Amitbhai Patel, PT
• John E Pelosi, DPM
• Alexander Jordan Pena, PT, DPT
• Melissa Pine
• Lauren Jessica Pino, PHARMD
• Danielle Player

• Social Worker in Glassboro, NJ
• Providers in Glassboro, 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 Jun 21, 2019; 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.