Miss Kelly Rose Printon, LCSW, LCADC is a
Social Worker based in New Brunswick, New Jersey. Miss Kelly Rose Printon is licensed to practice in New Jersey (license number 44SL06092600) and her current practice location is
104 Bayard St, 2nd Floor, New Brunswick, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 847-2869.
NPI number for Miss Kelly Rose Printon is 1326593880 and her current mailing address is 611 2nd Ave Rear 2nd, Bradley Beach, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326593880.
Healthcare Provider's Profile
| Full Name | Miss Kelly Rose Printon |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 104 Bayard St, New Brunswick, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326593880
- Provider Enumeration Date: 08/24/2016
- Last Update Date: 12/07/2020
Medical Identifiers
Medical identifiers for Miss Kelly Rose Printon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326593880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00299800 (New Jersey) | Secondary |
| 104100000X | Social Worker | 44SL06092600 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Kelly Rose Printon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Kelly Rose Printon, LCSW, LCADC
611 2nd Ave Rear 2nd,
Bradley Beach, NJ 07720-1165
Ph: (732) 688-4018 | Miss Kelly Rose Printon, LCSW, LCADC
104 Bayard St, 2nd Floor,
New Brunswick, NJ 08901-2389
Ph: (732) 847-2869 |
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