Janine Kelly, LCSW – Clinical Social Worker

Key facts

NPI: 1780128694
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 44SC05859300 (NJ)
Practice address: 518 Clinton Ave
Middlesex, NJ 08846-2317
Phone: (908) 271-8000
NPI assigned: Dec 12, 2016
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Healing Through Play Therapy, LLC Adolescent and Children Mental Health Clinic/Center · Middlesex, NJ · NPI 1386278240

NPD

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
44SC05859300	NJ	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Healing Through Play Therapy, LLC		Current since Jul 17, 2021	Accepting new patients

Locations

233 Mount Airy Rd
Fl 1
Basking Ridge, NJ 07920

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	44SC05859300	NJ	Yes

Addresses

Primary practice location

518 Clinton Ave
Middlesex, NJ 08846-2317

Mailing address

518 Clinton Ave
Middlesex, NJ 08846-2317
Phone (908) 271-8000

Other providers in Middlesex, NJ

All providers in Middlesex, NJ · Clinical Social Worker in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.