Jeff Ambrose Kpolie, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05957300 Issued in NJ

Practice address

223 Gibbsboro Rd
Clementon, NJ 08021-4135

Phone

(856) 236-3415

NPI assigned

Feb 25, 2025

Last updated

Feb 25, 2025By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1760289128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 AMAN AVE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080212545",
            "telephone_number": "856-236-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 GIBBSBORO RD",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214135",
            "telephone_number": "856-236-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KPOLIE",
        "first_name": "JEFF",
        "middle_name": "AMBROSE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05957300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweeny Khanna, PHARM.D.
• Leah Kihn
• Aaron Wayne King, RPH.
• George Darnell King Jr.
• Lauren Kinney
• David Gary Krefetz, D.O.
• Melisa Lara Kunt
• Madison Kurz, LCSW
• Sharonn Leigh
• Ernest Leone Jr., D.D.S.

• Social Worker in Clementon, NJ
• Providers in Clementon, 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 Feb 25, 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.