Provider Demographics
NPI:1043067267
Name:BALDINGER, KELLY (LCSW, CCS)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:BALDINGER
Suffix:
Gender:F
Credentials:LCSW, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GAIL CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-3020
Mailing Address - Country:US
Mailing Address - Phone:201-230-7768
Mailing Address - Fax:
Practice Address - Street 1:3 GAIL CT
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-3020
Practice Address - Country:US
Practice Address - Phone:201-230-7768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054443001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical