Kellie Medendorp, LSW
NPI 1588163158 · Addiction (Substance Use Disorder) Counselor · Fort Washington, PA
Kellie Medendorp, LSW is a Addiction (Substance Use Disorder) Counselor provider in Fort Washington, PA (NPI 1588163158).
Provider details
- NPI number
- 1588163158
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-02-08
- Last updated
- 2018-02-08
Frequently asked questions
- What is Kellie Medendorp's NPI number?
- Kellie Medendorp's National Provider Identifier (NPI) is 1588163158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Medendorp's specialty?
- Kellie Medendorp is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Kellie Medendorp located?
- Kellie Medendorp's practice location on file with NPPES is 1035 Virginia Dr Ste 130, Fort Washington, PA 19034-3103.
- What is Kellie Medendorp's phone number?
- The practice phone number listed in the NPPES registry for Kellie Medendorp is (610) 745-4717.
- Is Kellie Medendorp's NPI active?
- Yes — Kellie Medendorp's NPI (1588163158) is active in the NPPES registry as of the last update on 2018-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.