Active NPI
Gay Marie Kelly-Leh, MSW
- Clinical Social Worker
- Bridgeport, NJ
National Provider Identifier
1447374228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC04993800
- Practice address
- 20 Main St
Bridgeport, NJ 08014-9741 - Phone
- (856) 241-0744
- Fax
- (856) 241-0745
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 8, 2007
- 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 | 44SC04993800 | NJ | Primary |
Addresses
Primary practice location
20 Main St
Bridgeport, NJ 08014-9741
Mailing address
225 Munn LN
Cherry Hill, NJ 08034-3028
Phone (215) 680-2989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04993800 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447374228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MUNN LN",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080343028",
"telephone_number": "215-680-2989",
"fax_number": "856-241-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MAIN ST",
"city": "BRIDGEPORT",
"state": "NJ",
"postal_code": "080149741",
"telephone_number": "856-241-0744",
"fax_number": "856-241-0745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY-LEH",
"first_name": "GAY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC04993800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.