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General NPI Number Information
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NPI Number | 1720868524
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Entity Type | Organization
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Legal Business Name | MEREDITH KELLMAN, LCSW LLC
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 94 MACKENZIE LN S
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City | DENVILLE
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State | NJ
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Zip | 07834-3722
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Country | US
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Telephone | 201-613-2442
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Fax |
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Provider Business Mailing Address
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Address Line | 276 E MAIN ST STE 10
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City | DENVILLE
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State | NJ
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Zip | 07834-2641
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Country | US
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Telephone | 201-613-2442
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Fax | 201-613-2388
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Authorized Official
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Title or Position | OWNER
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Name | MEREDITH A KELLMAN
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Credential | LCSW
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Telephone | 201-613-2442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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