Organization Active NPI

Unstuck Therapy

  • Clinical Social Worker
  • West Deptford, NJ
National Provider Identifier
1861822306
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05386600 Issued in NJ
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

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly RedkolesNPI 1578786240
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.