TRAUMA-INFORMED PSYCHOTHERAPY, LLC (NPI# 1902396104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902396104 |
| Entity Type | Organization |
| Organization Name | TRAUMA-INFORMED PSYCHOTHERAPY, LLC |
| Other Organization Name | TRAUMA-INFORMED PSYCHOTHERAPY, LLC |
| Practice Address |
101 Park St # 3 Montclair NJ 07042-2963 |
| Mailing Address |
45 Bayliss St # 2 North Arlington NJ 07031-5548 |
| Practice Telephone | 9734474460 |
| Mailing Telephone | 2013778710 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MARK WILLIAM RICHARDSON (OWNER) |
| Authorized Official Telephone | 2013778710 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05682000 | NJ | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Trauma-Informed Psychotherapy, LLC | Former Legal Business Name - Organization |
| Trauma-Informed Psychotherapy, LLC | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 35 Deforest Ave, Summit, NJ 079012155 | 9734474460 |
| Street Address |
101 PARK ST # 3 |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| 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 |
|---|---|---|---|---|
| 1871191759 | Lynne Margaret Eisenbrand | Social Worker | 289 Park St, Montclair, NJ 07043-2210 | 2020-10-13 |
| 1679180160 | Megan Fox | Social Worker | 21 Trinity Pl Apt 401, Montclair, NJ 07042-2739 | 2020-09-28 |
| 1457975591 | Julie Bilse Psychotherapy, LLC | Social Worker | 51 Upper Montclair Plz Ste 17, Montclair, NJ 07043-1340 | 2020-06-04 |
| 1952937047 | Rafanny Mangarelli | Social Worker | 311 Claremont Ave Ste 2a, Montclair, NJ 07042-2240 | 2020-03-20 |
| 1013547009 | Roseann Tuchman Shaiman | Social Worker | 111 Yantacaw Brook Rd, Montclair, NJ 07043-2524 | 2020-01-19 |
| 1811558497 | Victoria Britt, Lcsw, LLC | Social Worker | 211a Glenridge Ave, Montclair, NJ 07042-3645 | 2019-06-25 |
| 1194283374 | Krystle M Davis | Social Worker | 105 Grove St Ste 16-2, Montclair, NJ 07042-4051 | 2019-03-07 |
| 1881178838 | We Care Psychology Group LLC | Social Worker | 4878 Yale St, Montclair, CA 91763-2242 | 2018-09-17 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1063915098 | Alice Katherine Forsyth | Social Worker | 73 Park St Fl 2, Montclair, NJ 07042-2903 | 2018-03-15 |
| Find all providers in MONTCLAIR | ||||
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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.