Active NPI
Unstuck Therapy
- Clinical Social Worker
- West Deptford, NJ
National Provider Identifier
1861822306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05386600
- Legal business name
- UNSTUCK THERAPY
- Practice address
- 901 Mantua Pike
West Deptford, NJ 08096-3920 - Phone
- (856) 889-5902
- Fax
- (856) 889-5902
- NPI assigned
- Nov 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Redkoles
- Title
- Owner/Therapist
- Phone
- (856) 294-6711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05386600 | NJ | Primary |
Addresses
Primary practice location
901 Mantua Pike
West Deptford, NJ 08096-3920
Mailing address
119 Wheatley Blvd
Mullica Hill, NJ 08062-9605
Phone (856) 889-5902
National Provider Directory
National Provider DirectoryLocations
901 Mantua Pike
Woodbury, NJ 08096
Phone (856) 889-5902
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- West Deptford, NJ
- NPI 1578786240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1861822306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 WHEATLEY BLVD",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080629605",
"telephone_number": "856-889-5902",
"fax_number": "856-889-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MANTUA PIKE",
"city": "WEST DEPTFORD",
"state": "NJ",
"postal_code": "080963920",
"telephone_number": "856-889-5902",
"fax_number": "856-889-5902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNSTUCK THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-20",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "REDKOLES",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "856-294-6711"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05386600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Deptford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.