Emergent Change Counseling & Healing

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMERGENT CHANGE COUNSELING & HEALING

Practice address

18-20 Lackawanna PLZ Ste 300
Montclair, NJ 07042-3642

Phone

(973) 671-4309

Fax

(973) 629-1778

NPI assigned

Nov 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura L Melendez, LCSWNPI 1588235980

Title

Owner

Phone

(862) 252-4001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura L Melendez, LCSW

  • Clinical Social Worker
  • Montclair, NJ
  • NPI 1588235980
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1013673516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 GLENRIDGE AVE UNIT 289",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070426812",
            "telephone_number": "973-671-4309",
            "fax_number": "973-629-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-20 LACKAWANNA PLZ STE 300",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423642",
            "telephone_number": "973-671-4309",
            "fax_number": "973-629-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENT CHANGE COUNSELING & HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-252-4001",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lynn Elliott, MD
• Mina Michael Elmiry, MD
• Ali Elsayed Mohammed Elsayed, M.D.
• Cherine Elysse
• Emergency Associates of Montclair LLC
• Matthew Emery, CGC
• Emi Psychiatry LLC
• Empower Beyond Limits LLC
• Empowered Voices LLC
• En Hands Chiropractic LLC

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.