MRS. SARA WALLES (NPI# 1790095859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790095859 |
| Entity Type | Individual |
| Full Name | MRS. SARA WALLES |
| Credential | LCSW |
| Practice Address |
729 Van Houten Ave. Suite #2 Clifton NJ 07013 |
| Mailing Address |
12 Lorraine Dr. Clifton NJ 07012 |
| Practice Telephone | 7202958285 |
| Mailing Telephone | 7202958285 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
082192 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC0566200 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
729 VAN HOUTEN AVE. SUITE #2 |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| 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 |
|---|---|---|---|---|
| 1679190961 | Valeria Rodriguez | Social Worker | 146 Stanley St, Clifton, NJ 07013-1312 | 2020-07-02 |
| 1336764737 | The Corvus Center for Mental Health Services | Social Worker | 11915 Lilita Ln, Clifton, VA 20124-1936 | 2020-06-11 |
| 1043849797 | Luz N Lavado | Social Worker | 51 Myrtle Ave, Clifton, NJ 07014-2003 | 2020-04-05 |
| 1013540558 | Miriam Mckain | Social Worker | 6505 Rock Crystal Dr, Clifton, VA 20124-2523 | 2020-02-12 |
| 1245711266 | Mindy L. Gewirtz | Social Worker | 5 Balsam Ct Apt 19, Clifton, NJ 07014-1350 | 2018-08-27 |
| 1588160832 | Ashley Patrican | Social Worker | 12101 Beaver Creek Rd, Clifton, VA 20124-2116 | 2018-04-04 |
| 1427559418 | Michelle Mouhtis | Social Worker | 1033 Us Highway 46 Ste 106a, Clifton, NJ 07013-2448 | 2018-02-24 |
| 1508307208 | Robert D. Jenkins, Lcsw, Csots, Ccs, LLC | Social Worker | 134 Linwood Ter, Clifton, NJ 07012-2335 | 2017-03-14 |
| 1083151724 | Cornelia Sherman | Social Worker | 1135 Clifton Ave Ste 103, Clifton, NJ 07013-3643 | 2017-01-19 |
| 1366891921 | Daniel C Schwab | Social Worker | 61 Edgewood Ave, Clifton, NJ 07012-1839 | 2016-06-05 |
| Find all providers in CLIFTON | ||||
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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.