Jennifer Malec, MSW LCSW CCS Therapist

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC05478800 Issued in NJ

Legal business name

JENNIFER MALEC, MSW LCSW CCS THERAPIST

Practice address

209 Cooper Ave Ste 6
Upper Montclair, NJ 07043-1850

Phone

(862) 277-0344

NPI assigned

Aug 25, 2017

Last updated

Aug 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Malec, LCSW, CCS

Title

Therapist

Phone

(862) 277-0344

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1053838599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 SMULL AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 COOPER AVE STE 6",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431850",
            "telephone_number": "862-277-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MALEC, MSW LCSW CCS THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "MALEC",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "862-277-0344",
        "authorized_official_credential": "LCSW, CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05478800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Upper Montclair, NJ
• Providers in Upper Montclair, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.