Trauma-Informed Psychotherapy, LLC
Social Worker, Clinical in Montclair, New Jersey
1902396104- Practice location
- 101 Park St # 3, Montclair, NJ 07042-2963
- Phone
- 973-447-4460
- Fax
- —
- Last updated
- June 16, 2018
Trauma-Informed Psychotherapy, LLC is a healthcare organization based in Montclair, NJ. Trauma-Informed Psychotherapy, LLC practices in Montclair, NJ. The NPI Number for Trauma-Informed Psychotherapy, LLC is 1902396104 and holds a License No. 44SC05682000 (NJ). The current practice location address for Trauma-Informed Psychotherapy, LLC is 101 Park St # 3, Montclair, NJ 07042-2963 and can be reached out via phone at 973-447-4460.
Provider Profile Details
- NPI Number
- 1902396104
- Provider Name
- Trauma-Informed Psychotherapy, LLC
- Provider Entity Type
- Organization
- Address
- 101 Park St # 3, Montclair, NJ 07042-2963
- Phone Number
- 973-447-4460
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Mark William Richardson, LCSW · Owner · 201-377-8710
- Other Names
- Trauma-Informed Psychotherapy, LLC (Other Name)
Trauma-Informed Psychotherapy, LLC (Former Legal Business Name) - Provider Enumeration Date
- May 14, 2018
- Last Update Date
- June 16, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Park St # 3
Montclair, NJ 07042-2963 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2963
- Phone Number
- 973-447-4460
Provider Business Mailing Address Details
- Address
- 45 Bayliss St # 2
North Arlington, NJ 07031-5548 - City
- North Arlington
- State
- NJ
- Zip
- 07031-5548
- Phone Number
- 201-377-8710
License Information
- License Number
- 44SC05682000
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · 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 Trauma-Informed Psychotherapy, LLC?
The NPI number of Trauma-Informed Psychotherapy, LLC is 1902396104. It was assigned on May 14, 2018 and is currently active in the NPPES registry.
What is the specialty of Trauma-Informed Psychotherapy, LLC?
Trauma-Informed Psychotherapy, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05682000.
Where does Trauma-Informed Psychotherapy, LLC practice?
The practice location is 101 Park St # 3, Montclair, NJ 07042-2963. The office can be reached at 973-447-4460 (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 1902396104 directly on the NPPES registry website.