Active NPIOrganization

Madeline Till LCSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1528427424
Practice location
11 S Fullerton Ave, Montclair, NJ 07042-6304
Fax
—
Last updated
April 13, 2016

Madeline Till LCSW is a healthcare organization based in Montclair, NJ. Madeline Till LCSW practices in Montclair, NJ. The NPI Number for Madeline Till LCSW is 1528427424 and holds a License No. 44SC05668600 (NJ). The current practice location address for Madeline Till LCSW is 11 S Fullerton Ave, Montclair, NJ 07042-6304 and can be reached out via phone at 973-798-8336.

Provider Profile Details

NPI Number
1528427424
Provider Name
Madeline Till LCSW
Provider Entity Type
Organization
Address
11 S Fullerton Ave, Montclair, NJ 07042-6304
Phone Number
973-798-8336
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Madeline Till, LCSW · Proprietor · 973-798-8336
Provider Enumeration Date
February 19, 2016
Last Update Date
April 13, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 S Fullerton Ave
Montclair, NJ 07042-6304
Zip
07042-6304
Phone Number
973-798-8336
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
19 Oxford St
Montclair, NJ 07042-4907
City
Montclair
State
NJ
Zip
07042-4907

License Information

License Number
44SC05668600
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 Madeline Till LCSW?

The NPI number of Madeline Till LCSW is 1528427424. It was assigned on February 19, 2016 and is currently active in the NPPES registry.

What is the specialty of Madeline Till LCSW?

Madeline Till LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05668600.

Where does Madeline Till LCSW practice?

The practice location is 11 S Fullerton Ave, Montclair, NJ 07042-6304. The office can be reached at 973-798-8336 (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 1528427424 directly on the NPPES registry website.

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