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Clinical Social Worker · Montclair, NJ

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At a glance

460 Bloomfield Ave Fl 4, Montclair, NJ 07042-3582

NPPES record updated Jan 28, 2021. Public records can lag behind changes at a practice.

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  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

460 Bloomfield Ave Fl 4
Montclair, NJ 07042-3582
Professional details: NPI, taxonomy & registry record
NPI1134724057
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Nov 30, 2020
Record updated
Jan 28, 2021
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

460 Bloomfield Ave Fl 4
Montclair, NJ 07042-3582
Phone
(973) 619-8796
Mailing address
377 VALLEY RD # 1240

CLIFTON, NJ 070131319
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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