Individual provider Active NPI

Zinneh Kesselly-Kpanabom, LCSW

  • Clinical Social Worker
  • Havertown, PA
National Provider Identifier
1982440210
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025310 Issued in PA
Practice address
2010 W Chester Pike Ste 314
Havertown, PA 19083-2737
Phone
(610) 892-3800
NPI assigned
Jul 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CW025310 PA
Clinical Social Worker 1041C0700X CW025310 PA Primary

Addresses

Primary practice location

2010 W Chester Pike Ste 314
Havertown, PA 19083-2737

Mailing address

2010 W Chester Pike Ste 314
Havertown, PA 19083-2737
Phone (610) 892-3800

Other practice location 1

815 Chester Pike
Prospect Park, PA 19076-2322
Phone (610) 586-6262

Other names 1

  • Zinneh K Kesselly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250224003665 PA Practitioner - Clinical Social Worker 6800316613 Reassigns benefits to 3 organizations
I20260409003606 DE Practitioner - Clinical Social Worker 6800316613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW025310PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Nov 1, 2025 Accepting new patients
Senior Care Therapy of Pennsylvania, P.C. Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

2010 W Chester Pike
Ste 314
Havertown, PA 19083
Phone (412) 736-6551

815 Chester Pike
Prospect Park, PA 19076
Phone (610) 586-6262

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1982440210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE STE 314",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832737",
            "telephone_number": "610-892-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W CHESTER PIKE STE 314",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832737",
            "telephone_number": "610-892-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Chester Pike",
            "address_purpose": "LOCATION",
            "city": "Prospect Park",
            "state": "PA",
            "postal_code": "190762322",
            "country_code": "US",
            "telephone_number": "610-586-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSELLY-KPANABOM",
        "first_name": "ZINNEH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW025310",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZINNEH",
            "last_name": "KESSELLY",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.