Organization Active NPI

Wellness Dialogues LCSW, PLLC

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1487492385
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WELLNESS DIALOGUES LCSW, PLLC
Practice address
115 Watchung Ave Unit 2
Montclair, NJ 07043-1710
Phone
(856) 521-1217
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Suzanne Fauria, LCSWNPI 1366163719
Title
Member-Manager
Phone
(856) 521-1217

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

Addresses

Primary practice location

115 Watchung Ave Unit 2
Montclair, NJ 07043-1710

Mailing address

447 Broadway
FL 2, #1410
New York, NY 10013

National Provider Directory

National Provider Directory

Locations

115 Watchung Ave
Unit 2
Montclair, NJ 07043
Phone (856) 521-1217

Practitioners & affiliated clinicians

Practitioners 1

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": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1487492385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 BROADWAY",
            "address_2": "FL 2, #1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WATCHUNG AVE UNIT 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431710",
            "telephone_number": "856-521-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS DIALOGUES LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "FAURIA",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "856-521-1217",
        "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 Jul 16, 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.