Organization Active NPI

Montclair Therapy Associates LLC

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1245086446
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MONTCLAIR THERAPY ASSOCIATES LLC
Practice address
51 Upper Montclair PLZ Ste 22
Montclair, NJ 07043-1340
Phone
(973) 620-8239
Fax
(862) 227-4509
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Mr. Lee Abraham
Title
Managing Director
Phone
(973) 420-4603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

51 Upper Montclair PLZ Ste 22
Montclair, NJ 07043-1340

Mailing address

51 Upper Montclair PLZ Ste 22
Montclair, NJ 07043-1340
Phone (973) 620-8239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251231000358 NJ Part B Supplier - Clinic/Group Practice 1052807906 Receives reassigned benefits from 1 practitioner
Practice locations: Montclair, NJ

National Provider Directory

National Provider Directory

Locations

70 Park St
Ste 209
Montclair, NJ 07042
Phone (973) 620-8239

51 Upper Montclair Plz
Ste 22
Montclair, NJ 07043
Phone (973) 620-8239

Practitioners & affiliated clinicians

Practitioners 2

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": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1245086446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 UPPER MONTCLAIR PLZ STE 22",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431340",
            "telephone_number": "973-620-8239",
            "fax_number": "862-227-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 UPPER MONTCLAIR PLZ STE 22",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431340",
            "telephone_number": "973-620-8239",
            "fax_number": "862-227-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "973-420-4603",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.