Carly Mae Clearwater
Occupational Therapist, Pediatrics in West Milford, NJ. Individual provider (NPI-1).
NPI number1902506751
StatusActive
Last updated in NPPESFeb 6, 2026
Details
- NPI
- 1902506751
- Entity type
- Individual (NPI-1)
- Name
- Carly Mae Clearwater
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2023
- Certification date
- Feb 6, 2026
- Last updated
- Feb 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 46TR00887900 | NJ | Yes |
| 174N00000X | Lactation Consultant, Non-RN | L-320763 | NJ |
Practice location
1554 Union Valley RdWest Milford, NJ 07480-1357
Phone 860-575-0428
Mailing address
424 Canistear RdStockholm, NJ 07460-1832
Phone 860-575-0428
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pediatric Occupational Therapist providers in West Milford, NJ
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.