Active NPIIndividual provider

Chanta Blue, LCSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1508239898
Practice location
1 Upper Mountain Ave, Montclair, NJ 07042-1871
Fax
—
Last updated
September 11, 2016

Chanta Blue is a Social Worker, Clinical based in Montclair, NJ. Chanta Blue practices in Montclair, NJ and has the professional credentials of LCSW. The NPI Number for Chanta Blue is 1508239898 and holds a License No. 587336 (NJ). The current practice location address for Chanta Blue is 1 Upper Mountain Ave, Montclair, NJ 07042-1871 and can be reached out via phone at 201-463-5084.

Provider Profile Details

NPI Number
1508239898
Provider Name
Chanta Blue
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1 Upper Mountain Ave, Montclair, NJ 07042-1871
Phone Number
201-463-5084
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 9, 2015
Last Update Date
September 11, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Upper Mountain Ave
Montclair, NJ 07042-1871
Zip
07042-1871
Phone Number
201-463-5084
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
1 Upper Mountain Ave
Montclair, NJ 07042-1871
City
Montclair
State
NJ
Zip
07042-1871
Phone Number
201-463-5084

License Information

License Number (1)
587336
License State (1)
NJ
Taxonomy (1)
Social Worker, School · 1041S0200X
License Number (2)
44SC05703400
License State (2)
NJ
Taxonomy (2)
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 Chanta Blue, LCSW?

The NPI number of Chanta Blue, LCSW is 1508239898. It was assigned on November 9, 2015 and is currently active in the NPPES registry.

What is the specialty of Chanta Blue, LCSW?

Chanta Blue, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 587336.

Where does Chanta Blue, LCSW practice?

The practice location is 1 Upper Mountain Ave, Montclair, NJ 07042-1871. The office can be reached at 201-463-5084 (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 1508239898 directly on the NPPES registry website.

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