Vaughn, Kellie Madison

Vaughn, Kellie Madison is an individual health care provider with primary practice located at 595 Chestnut Ridge Rd Ste 4 , Woodcliff Lake NJ 07677-7667. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vaughn, Kellie Madison can be contacted via phone (551) 368-0307.

Contact Information

Primary practice address
595 Chestnut Ridge Rd Ste 4 Woodcliff Lake NJ 07677-7667
Phone: (551) 368-0307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL07280400 New Jersey
Behavioral Health & Social Service Providers / Social Worker 104100000X 128018 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SL07280400 New Jersey

Profile Details

NPI number 1104674779
LBN Legal business name Vaughn, Kellie Madison
Credentials LSW, LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2024
Last updated Aug 20th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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