Kelsey Christ, LSW

Individual provider Active NPI Social Worker · Hillsborough, NJ

NPI 1548030372 · NPPES record last updated Jan 3, 2024

Key facts

NPI
1548030372
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
44SL06803000 (NJ)
Practice address
425 Amwell Rd Ste 101
Hillsborough, NJ 08844-1213
Phone
(908) 770-7352
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
44SL06803000NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MKF Counseling Current
since Jan 7, 2024
Accepting new patients
Wild Roots Counseling and Psychological Services LLC Current Accepting new patients

Locations

425 Amwell Rd
Ste 101
Hillsborough, NJ 08844
Phone (908) 770-7352

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06803000 NJ Yes

Addresses

Primary practice location

425 Amwell Rd Ste 101
Hillsborough, NJ 08844-1213

Mailing address

425 Amwell Rd Ste 101
Hillsborough, NJ 08844-1213
Phone (908) 770-7352

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 3, 2024.

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1548030372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 AMWELL RD STE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441213",
            "telephone_number": "908-770-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 AMWELL RD STE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441213",
            "telephone_number": "908-770-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRIST",
        "first_name": "KELSEY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06803000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

All providers in Hillsborough, NJ · Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.