Active NPIIndividual provider

Taisia L Koeppel, LCSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1144978404
Practice location
33 S Fullerton Ave, Montclair, NJ 07042-6392
Fax
—
Last updated
March 16, 2022

Taisia Lynn Koeppel is a Social Worker, Clinical based in Montclair, NJ. Taisia Lynn Koeppel practices in Montclair, NJ and has the professional credentials of LCSW. The NPI Number for Taisia Lynn Koeppel is 1144978404 and holds a License No. 44SC05659600 (NJ). The current practice location address for Taisia Lynn Koeppel is 33 S Fullerton Ave, Montclair, NJ 07042-6392 and can be reached out via phone at 973-509-9777.

Provider Profile Details

NPI Number
1144978404
Provider Name
Taisia Lynn Koeppel
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
33 S Fullerton Ave, Montclair, NJ 07042-6392
Phone Number
973-509-9777
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 16, 2022
Last Update Date
March 16, 2022
Certification Date
March 16, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 S Fullerton Ave
Montclair, NJ 07042-6392
Zip
07042-6392
Phone Number
973-509-9777
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
33 S Fullerton Ave
Montclair, NJ 07042-6392
City
Montclair
State
NJ
Zip
07042-6392
Phone Number
973-509-9777

License Information

License Number
44SC05659600
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Taisia L Koeppel, LCSW?

The NPI number of Taisia L Koeppel, LCSW is 1144978404. It was assigned on March 16, 2022 and is currently active in the NPPES registry.

What is the specialty of Taisia L Koeppel, LCSW?

Taisia L Koeppel, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05659600.

Where does Taisia L Koeppel, LCSW practice?

The practice location is 33 S Fullerton Ave, Montclair, NJ 07042-6392. The office can be reached at 973-509-9777 (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 1144978404 directly on the NPPES registry website.

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