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NPI Code Detail

MEDICARE: KAITLYN ANSTOTZ LCSW

MEDICARE:   KAITLYN  ANSTOTZ  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC06607400NJ

General Provider Information

NPI Number : 1619822012
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN ANSTOTZ LCSW
Provider Business Mailing Address
First Line : 17 E COLLINGSWOOD AVE
Second Line :
City : HADDON TOWNSHIP
State : NJ
Zip : 08107-1203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17 E COLLINGSWOOD AVE
Second Line :
City : HADDON TOWNSHIP
State : NJ
Zip : 08107-1203
Country : US
Telephone Number : 856-366-3512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ KAITLYN ANSTOTZ LCSW” Practice Location

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