Kelly Haranczak, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

108 Somerdale Rd
Voorhees, NJ 08043-1901

Phone

(856) 651-7553

NPI assigned

Feb 10, 2023

Sex

Female

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)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: kelly.haranczak.1@32853.direct.athenahealth.com

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.

• Blackbird Clinical Services

  • Psychiatry Physician
  • Mount Laurel, NJ
  • NPI 1518857424
  NPD (past)

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1871290775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10048 VERREE RD # 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163673",
            "telephone_number": "215-205-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SOMERDALE RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431901",
            "telephone_number": "856-651-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARANCZAK",
        "first_name": "KELLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey P Hanna, LCSW
• Rachel E Hannagan, MS
• Lisanne Floto Hanrahan
• Corey A Hanson, MS, CCC-SLP
• Kelly Ann Hanson, NP-C
• Ali Hassan Harb, DO
• John A Harding, MD
• Michelle Harris, LCSW
• Shauna N Harris, LSW
• Zachary Nolan Harris, AUD

• Clinical Social Worker in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.