Active NPIIndividual provider

Mr. Ivan T Smalls Jr.

Case Manager/Care Coordinator in East Orange, New Jersey

NPI Number1780338699
Practice location
86 S Harrison St, East Orange, NJ 07018-1748
Fax
—
Last updated
February 9, 2022

Ivan Thomas Smalls is a Case Manager/Care Coordinator based in East Orange, NJ. Ivan Thomas Smalls practices in East Orange, NJ. The NPI Number for Ivan Thomas Smalls is 1780338699. The current practice location address for Ivan Thomas Smalls is 86 S Harrison St, East Orange, NJ 07018-1748 and can be reached out via phone at 973-324-7891.

Provider Profile Details

NPI Number
1780338699
Provider Name
Ivan Thomas Smalls
Provider Entity Type
Individual
Gender
Male
Address
86 S Harrison St, East Orange, NJ 07018-1748
Phone Number
973-324-7891
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
No
Provider Enumeration Date
February 9, 2022
Last Update Date
February 9, 2022
Certification Date
February 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
86 S Harrison St
East Orange, NJ 07018-1748
Zip
07018-1748
Phone Number
973-324-7891
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
86 S Harrison St
East Orange, NJ 07018-1748
City
East Orange
State
NJ
Zip
07018-1748
Phone Number
973-324-7891

License Information

Taxonomy (1)
Counselor · 101Y00000X
License State (2)
NJ
Taxonomy (2)
Counselor · 101Y00000X
Taxonomy (3)
Behavior Analyst · 103K00000X
Taxonomy (4)
Social Worker · 104100000X
Taxonomy (5)
Social Worker, Clinical · 1041C0700X
Taxonomy (6)
Case Manager/Care Coordinator · 171M00000X · 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 Mr. Ivan T Smalls Jr.?

The NPI number of Mr. Ivan T Smalls Jr. is 1780338699. It was assigned on February 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Mr. Ivan T Smalls Jr.?

Mr. Ivan T Smalls Jr. is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Mr. Ivan T Smalls Jr. practice?

The practice location is 86 S Harrison St, East Orange, NJ 07018-1748. The office can be reached at 973-324-7891 (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 1780338699 directly on the NPPES registry website.

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