Active NPI
Stacia Thiel, LCSW
- Clinical Social Worker
- Montclair, NJ
National Provider Identifier
1336661941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05940500
- Practice address
- 8 Hillside Ave Ste 202
Montclair, NJ 07042-2129 - Phone
- (973) 206-0282
- NPI assigned
- Jul 14, 2017
- Last updated
- Mar 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06246100 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05940500 | NJ | Primary |
Addresses
Primary practice location
8 Hillside Ave Ste 202
Montclair, NJ 07042-2129
Mailing address
41 Watchung PLZ Unit 176
Montclair, NJ 07042-4117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06246100 | NJ | MD | Social Worker |
| 44SC05940500 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illume Psychotherapy LLC | Clinical | Current | Accepting new patients |
| Family Service League,Inc. | Current | Accepting new patients |
Locations
440 Franklin St
Ste 200
Bloomfield, NJ 07003
Phone (973) 746-0800
41 Watchung Plz
Montclair, NJ 07042
Phone (888) 543-7726
8 Hillside Ave
Ste 202
Montclair, NJ 07042
Phone (973) 206-0282
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Montclair, NJ
- NPI 1285219576
-
- Community/Behavioral Health Agency
- Bloomfield, NJ
- NPI 1881855542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1336661941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 WATCHUNG PLZ UNIT 176",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 HILLSIDE AVE STE 202",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422129",
"telephone_number": "973-206-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEL",
"first_name": "STACIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06246100",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05940500",
"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 Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.