Provider Demographics
NPI:1174160907
Name:ALPAUGH, KELSEY TAYLOR (LSW)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:TAYLOR
Last Name:ALPAUGH
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 AVENUE AT THE CMN STE 4
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4583
Mailing Address - Country:US
Mailing Address - Phone:732-796-8279
Mailing Address - Fax:
Practice Address - Street 1:149 AVENUE AT THE CMN STE 4
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4583
Practice Address - Country:US
Practice Address - Phone:732-796-8279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL065121001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical