Kelechi Ogbonnaya Ezeadi, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL06443700 Issued in NJ

Practice address

195 Main St Apt 7B
Millburn, NJ 07041-1153

Phone

(862) 246-0984

NPI assigned

Jun 28, 2023

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Holy Trinity Wellness & Leadership Group LLC.

  • Clinical Social Worker
  • Millburn, NJ
  • NPI 1235083882
  NPD Authorized official

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1457038770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MAIN ST APT 7B",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411153",
            "telephone_number": "862-246-0984",
            "fax_number": "973-554-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MAIN ST APT 7B",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411153",
            "telephone_number": "862-246-0984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Prospect St Ste 2",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070172305",
            "country_code": "US",
            "telephone_number": "973-457-3267",
            "fax_number": "973-554-9442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZEADI",
        "first_name": "KELECHI",
        "middle_name": "OGBONNAYA",
        "name_prefix": "Prof.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-28",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06443700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavithra Ellison, M.D
• Lisa Esser, PT
• Essex Counseling Center, LLC
• Briana Esteves
• Eye Q Opticians
• Brian Lawrence Farran, PH.D., ABPP
• Fashion Eyewear of Essex
• Jessica Fernandez, M.S., CCC-SLP
• Janine Ferrigno-Taddeo, DPM
• Alexandra Fetzer, PHD

• Clinical Social Worker in Millburn, NJ
• Providers in Millburn, 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 Jun 17, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.