Healthcare Provider Details

I. General information

NPI: 1285523472
Provider Name (Legal Business Name): KAYLA MONROE COSGROVE LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA MILAN MONROE LSW

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 S 5TH AVE
HIGHLAND PARK NJ
08904-2604
US

IV. Provider business mailing address

27 S 5TH AVE
HIGHLAND PARK NJ
08904-2604
US

V. Phone/Fax

Practice location:
  • Phone: 862-753-5825
  • Fax:
Mailing address:
  • Phone: 862-753-5825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL07260500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: