Timothy Bracaglia, MSW, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05899200 Issued in NJ

Practice address

73 Valley Rd FL 2
Montclair, NJ 07042-2210

Phone

(908) 320-5320

Fax

(732) 879-0380

NPI assigned

Oct 3, 2017

Last updated

Apr 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oasis Behavioral Health & Addiction Services

  • Clinical Social Worker
  • Montclair, NJ
  • NPI 1679089106
  Authorized official Same address or phone

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1184134298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 VALLEY RD FL 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422210",
            "telephone_number": "908-320-5320",
            "fax_number": "732-879-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 VALLEY RD FL 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422210",
            "telephone_number": "908-320-5320",
            "fax_number": "732-879-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 Marlboro Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "08857",
            "country_code": "US",
            "telephone_number": "732-543-1600",
            "fax_number": "732-879-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Trinity Pl",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070422773",
            "country_code": "US",
            "telephone_number": "908-320-5320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACAGLIA",
        "first_name": "TIMOTHY",
        "credential": "MSW, LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00267600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05899200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Bernadette Bowe
• Ashajyothi Boyapati
• Angela Boyette
• Elizabeth A Boyle, CCC-SLP
• Brittany Boynton
• Juliana Braswell
• Rodney D Bravo, PT, DPT
• Breaking All Barriers
• Breath of Fresh Nurses LLC
• Shayla Bridges

• 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 Apr 10, 2024; 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.