Provider Demographics
NPI:1811787161
Name:CASPER, KELSEY ANN (LSW)
Entity type:Individual
Prefix:MS
First Name:KELSEY
Middle Name:ANN
Last Name:CASPER
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 POLK LN
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08302-5905
Mailing Address - Country:US
Mailing Address - Phone:856-305-2451
Mailing Address - Fax:
Practice Address - Street 1:191 POLK LN
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:NJ
Practice Address - Zip Code:08302-5905
Practice Address - Country:US
Practice Address - Phone:856-305-2451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL068518001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical