Mandala Integrative Therapy And Professional Development
Social Worker, Clinical in Short Hills, New Jersey
1104715556- Practice location
- 514 Millburn Ave # 2009, Short Hills, NJ 07078-2508
- Phone
- 908-460-8003
- Fax
- —
- Last updated
- July 21, 2026
Mandala Integrative Therapy And Professional Development is a healthcare organization based in Short Hills, NJ. Mandala Integrative Therapy And Professional Development practices in Short Hills, NJ. The NPI Number for Mandala Integrative Therapy And Professional Development is 1104715556. The current practice location address for Mandala Integrative Therapy And Professional Development is 514 Millburn Ave # 2009, Short Hills, NJ 07078-2508 and can be reached out via phone at 908-460-8003.
Provider Profile Details
- NPI Number
- 1104715556
- Provider Name
- Mandala Integrative Therapy And Professional Development
- Provider Entity Type
- Organization
- Address
- 514 Millburn Ave # 2009, Short Hills, NJ 07078-2508
- Phone Number
- 908-460-8003
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Jacqueline Crocker, LCSW · Owner · 908-460-8003
- Provider Enumeration Date
- July 1, 2025
- Last Update Date
- July 21, 2026
- Certification Date
- July 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 514 Millburn Ave # 2009
Short Hills, NJ 07078-2508 - City
- Short Hills
- State
- New Jersey
- Zip
- 07078-2508
- Phone Number
- 908-460-8003
Provider Business Mailing Address Details
- Address
- 484 Outlook Ave
Colonia, NJ 07067-3508 - City
- Colonia
- State
- NJ
- Zip
- 07067-3508
- Phone Number
- 908-460-8003
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Short Hills, NJ
View all Social Worker, Clinical providers in Short Hills →- Alison J Roth, MSWSocial Worker, Clinical · NPI 1770827560
- Amy Sadeghi, LSWSocial Worker, Clinical · NPI 1154867679
- Caryn Mandel, LCSWSocial Worker, Clinical · NPI 1467836924
- Debra Yeager, MSW, LCSW, CSTSocial Worker, Clinical · NPI 1033413067
- Growth Wellness LLCSocial Worker, Clinical · NPI 1235081001
- Jacqueline Crocker, LCSWSocial Worker, Clinical · NPI 1538547948
Frequently Asked Questions
What is the NPI number of Mandala Integrative Therapy And Professional Development?
The NPI number of Mandala Integrative Therapy And Professional Development is 1104715556. It was assigned on July 1, 2025 and is currently active in the NPPES registry.
What is the specialty of Mandala Integrative Therapy And Professional Development?
Mandala Integrative Therapy And Professional Development is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Mandala Integrative Therapy And Professional Development practice?
The practice location is 514 Millburn Ave # 2009, Short Hills, NJ 07078-2508. The office can be reached at 908-460-8003 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104715556 directly on the NPPES registry website.