Active NPIIndividual provider

Carly M Clearwater

Occupational Therapist, Pediatrics in West Milford, New Jersey

NPI Number1902506751
Practice location
1554 Union Valley RD, West Milford, NJ 07480-1357
Fax
—
Last updated
February 6, 2026

Carly Mae Clearwater is an Occupational Therapist, Pediatrics based in West Milford, NJ. Carly Mae Clearwater practices in West Milford, NJ. The NPI Number for Carly Mae Clearwater is 1902506751 and holds a License No. L-320763 (NJ). The current practice location address for Carly Mae Clearwater is 1554 Union Valley RD, West Milford, NJ 07480-1357 and can be reached out via phone at 860-575-0428.

Provider Profile Details

NPI Number
1902506751
Provider Name
Carly Mae Clearwater
Provider Entity Type
Individual
Gender
Female
Address
1554 Union Valley RD, West Milford, NJ 07480-1357
Phone Number
860-575-0428
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
No
Provider Enumeration Date
March 8, 2023
Last Update Date
February 6, 2026
Certification Date
February 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1554 Union Valley RD
West Milford, NJ 07480-1357
Zip
07480-1357
Phone Number
860-575-0428
West Milford, NJ 07480Get directions →

Provider Business Mailing Address Details

Address
424 Canistear RD
Stockholm, NJ 07460-1832
City
Stockholm
State
NJ
Zip
07460-1832
Phone Number
860-575-0428

License Information

License Number (1)
L-320763
License State (1)
NJ
Taxonomy (1)
Lactation Consultant, Non-RN · 174N00000X
License Number (2)
46TR00887900
License State (2)
NJ
Taxonomy (2)
Occupational Therapist, Pediatrics · 225XP0200X · 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 Carly M Clearwater?

The NPI number of Carly M Clearwater is 1902506751. It was assigned on March 8, 2023 and is currently active in the NPPES registry.

What is the specialty of Carly M Clearwater?

Carly M Clearwater is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in NJ under license number L-320763.

Where does Carly M Clearwater practice?

The practice location is 1554 Union Valley RD, West Milford, NJ 07480-1357. The office can be reached at 860-575-0428 (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 1902506751 directly on the NPPES registry website.

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