Tara S Brock, MA, LPC
Counselor, Professional in Clifton, New Jersey
1598444994- Practice location
- 1135 Clifton Ave, Clifton, NJ 07013-3642
- Phone
- 973-988-4241
- Fax
- —
- Last updated
- July 13, 2023
Tara Sofia Brock is a Counselor, Professional based in Clifton, NJ. Tara Sofia Brock practices in Clifton, NJ and has the professional credentials of MA, LPC. The NPI Number for Tara Sofia Brock is 1598444994 and holds a License No. 37PC00966300 (NJ). The current practice location address for Tara Sofia Brock is 1135 Clifton Ave, Clifton, NJ 07013-3642 and can be reached out via phone at 973-988-4241.
Provider Profile Details
- NPI Number
- 1598444994
- Provider Name
- Tara Sofia Brock
- Credential
- MA, LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1135 Clifton Ave, Clifton, NJ 07013-3642
- Phone Number
- 973-988-4241
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 13, 2023
- Last Update Date
- July 13, 2023
- Certification Date
- July 13, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1135 Clifton Ave
Clifton, NJ 07013-3642 - City
- Clifton
- State
- New Jersey
- Zip
- 07013-3642
- Phone Number
- 973-988-4241
Provider Business Mailing Address Details
- Address
- 53 Fayson Lake RD
Kinnelon, NJ 07405-3129 - City
- Kinnelon
- State
- NJ
- Zip
- 07405-3129
- Phone Number
- 516-480-9601
License Information
- License Number
- 37PC00966300
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Tara S Brock, MA, LPC?
The NPI number of Tara S Brock, MA, LPC is 1598444994. It was assigned on July 13, 2023 and is currently active in the NPPES registry.
What is the specialty of Tara S Brock, MA, LPC?
Tara S Brock, MA, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00966300.
Where does Tara S Brock, MA, LPC practice?
The practice location is 1135 Clifton Ave, Clifton, NJ 07013-3642. The office can be reached at 973-988-4241 (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 1598444994 directly on the NPPES registry website.