Active NPI
I Still Love You Therapy & Wellness Center
- Clinical Social Worker
- Montclair, NJ
National Provider Identifier
1285487694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- I STILL LOVE YOU THERAPY & WELLNESS CENTER
- Practice address
- 18-20 Lackawanna PLZ
Montclair, NJ 07042-3642 - Phone
- (862) 210-9485
- NPI assigned
- Apr 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystle Davis, LCSW
- Title
- Owner/Therapist
- Phone
- (201) 349-0755
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
18-20 Lackawanna PLZ
Montclair, NJ 07042-3642
Mailing address
38 Hilton St
East Orange, NJ 07017-1845
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Montclair, NJ
- NPI 1194283374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1285487694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 HILTON ST",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070171845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18-20 LACKAWANNA PLZ",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423642",
"telephone_number": "862-210-9485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I STILL LOVE YOU THERAPY & WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "KRYSTLE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "201-349-0755",
"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": []
}
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 Apr 8, 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.