Organization Active NPI

Spring Psychotherapy and Wellness, LLC

  • Clinical Social Worker
  • Caldwell, NJ
National Provider Identifier
1043914518
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SPRING PSYCHOTHERAPY AND WELLNESS, LLC
Practice address
333 Bloomfield Ave Ste 201-3
Caldwell, NJ 07006-5166
Phone
(917) 239-7199
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Stephanie Roth-Goldberg, LCSW
Title
Co-Owner
Phone
(917) 239-7199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

333 Bloomfield Ave Ste 201-3
Caldwell, NJ 07006-5166

Mailing address

5 Waterbury Rd
Montclair, NJ 07043-1713

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1043914518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WATERBURY RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BLOOMFIELD AVE STE 201-3",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065166",
            "telephone_number": "917-239-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING PSYCHOTHERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "ROTH-GOLDBERG",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "917-239-7199",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.