Emergent Change Counseling & Healing
Social Worker, Clinical in Montclair, NJ. Organization (NPI-2).
NPI number1013673516
StatusActive
Last updated in NPPESNov 10, 2021
Details
- NPI
- 1013673516
- Entity type
- Organization (NPI-2)
- Legal business name
- Emergent Change Counseling & Healing
- Organization subpart
- No
- Enumeration date
- Nov 10, 2021
- Certification date
- Nov 10, 2021
- Last updated
- Nov 10, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
18-20 Lackawanna Plz Ste 300Montclair, NJ 07042-3642
Phone 973-671-4309 · Fax 973-629-1778
Mailing address
125 Glenridge Ave Unit 289Montclair, NJ 07042-6812
Phone 973-671-4309 · Fax 973-629-1778
Authorized official
Laura L Melendez
Owner
8622524001
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