TIDES PSYCHOTHERAPY SERVICES, LLC (NPI# 1609168384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609168384 |
| Entity Type | Organization |
| Organization Name | TIDES PSYCHOTHERAPY SERVICES, LLC |
| Practice Address |
900 Darlington Avenue Mahwah NJ 07430 |
| Mailing Address |
6 Vail Street Nutley NJ 07110 |
| Practice Telephone | 9736996916 |
| Mailing Telephone | 9736996916 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |
| Authorized Official Name | TARA M DUBLANICA (OWNER/ PSYCHOTHERAPIST) |
| Authorized Official Telephone | 9736996916 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05284000 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
900 DARLINGTON AVENUE |
| City | MAHWAH |
| State | NJ |
| Zip Code | 07430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158529 | Retreat & Recovery At Ramapo Valley | Psychiatric Hospital | 1071 Ramapo Valley Rd, Mahwah, NJ 07430 | 2020-06-12 |
| 1689195984 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 94 Ramapo Valley Road, Mahwah, NJ 07430 | 2017-06-28 |
| 1073995304 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 1019 Macarthur Blvd, Excel Orthopedic Rehabilitation, Mahwah, NJ 07430 | 2015-06-23 |
| 1467869255 | Song Woo Seo | Podiatrist | 400 Franklin Tpke # 202, Mahwah, NJ 07430 | 2014-07-14 |
| 1679713119 | Gloria Leder | Social Worker | 574 Laramine Lane, Mahwah, NJ 07430 | 2009-02-24 |
| 1518113711 | Carolyn Demaria | Pediatrics | 367 Forest Rd, Mahwah, NJ 07430 | 2008-08-07 |
| 1982850186 | Frank Demaria Jr. | Pediatrics | 367 Forest Rd., Mahawah, NJ 07430 | 2008-08-07 |
| 1992917488 | Leo Victor Russ | Dentist | 265 Westervelt Lane, Mahwah, NJ 07430 | 2007-05-04 |
| 1487729521 | Richard A Sabella | Dentist | 156 Ramapo Valley Road, Mahwah, NJ 07430 | 2006-11-22 |
| 1720177900 | Alan S Zwillinger | Dentist | 400 Franklin Trpe, Suite 206, Mahwah, NJ 07430 | 2006-10-12 |
| Find all providers in zip 07430 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689065179 | Samantha Cerami | Social Worker | 127 Fisher Rd, Mahwah, NJ 07430-3212 | 2015-02-05 |
| 1053540229 | Debra Borden | Social Worker | 1 International Blvd, Suite 400, Mahwah, NJ 07495-0027 | 2009-07-09 |
| 1982832713 | Benedetta Versaci | Social Worker | 65 Ramapo Valley Rd Ste 102, Mahwah, NJ 07430-1182 | 2009-07-01 |
| 1679713119 | Gloria Leder | Social Worker | 574 Laramine Lane, Mahwah, NJ 07430 | 2009-02-24 |
| 1770633265 | Maia M Rahill | Social Worker | 467 Mahogany Ct, Mahwah, NJ 07430-2759 | 2007-01-10 |
| 1689681033 | Judith Jacobs | Social Worker | 245 Mountainview Dr, Mahwah, NJ 07430-3426 | 2006-08-01 |
| 1861474959 | Margaret Lillian Bost | Social Worker | 121 Deerhaven Rd, Mahwah, NJ 07430-2718 | 2005-11-15 |
| 1720588007 | Mary Ellen Rita Shea | Social Worker | 860 Wyckoff Ave, Mahwah, NJ 07430-3186 | 2018-02-13 |
| 1477075976 | Danielle Marie Albanese | Social Worker | 860 Wyckoff Ave, Mahwah, NJ 07430-3186 | 2017-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417916 | Emily Hocking LLC | Social Worker | 3322 Route 22 Ste 806, Branchburg, NJ 08876-4406 | 2020-11-06 |
| 1699376566 | Francesca Bautista | Social Worker | 246 Outwater Ln, Garfield, NJ 07026-2606 | 2020-11-05 |
| 1326649419 | Lillian Serrano | Social Worker | 1881 S Delsea Dr Ste 7, Vineland, NJ 08360-6398 | 2020-11-04 |
| 1730780297 | Caroline Pence | Social Worker | 38 Waldron Ave, Summit, NJ 07901-2806 | 2020-11-02 |
| 1750981312 | Kylie Cleesattel | Social Worker | 37 Maple St Fl 2, Bloomfield, NJ 07003-3601 | 2020-10-31 |
| 1942800636 | Rising Road Counseling | Social Worker | 9 S Main St Ste 1b, Marlboro, NJ 07746-1539 | 2020-10-30 |
| 1043810831 | Carol Somerville | Social Worker | 9 Tenafly Rd, Tenafly, NJ 07670-2610 | 2020-10-29 |
| 1164022083 | Sarah Jack Services, LLC | Social Worker | 256 Sherman Ave, Teaneck, NJ 07666-3311 | 2020-10-29 |
| 1770183725 | Catherine Friedl Hartmann | Social Worker | 17 Cleveland Ave, Waldwick, NJ 07463-1622 | 2020-10-29 |
| 1053911131 | Megan Flanagan Lee | Social Worker | 230 Kinderkamack Rd Unit 309, River Edge, NJ 07661-2187 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.