Healthcare Provider Details

I. General information

NPI: 1568033322
Provider Name (Legal Business Name): KELLY DROL LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2021
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 SWEETMAN LN
WEST MILFORD NJ
07480-2932
US

IV. Provider business mailing address

55 SWEETMAN LN
WEST MILFORD NJ
07480-2932
US

V. Phone/Fax

Practice location:
  • Phone: 973-557-1699
  • Fax:
Mailing address:
  • Phone: 973-557-1699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL06659100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: