Active NPI
Wellness Dialogues LCSW, PLLC
- Clinical Social Worker
- Montclair, NJ
National Provider Identifier
1487492385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzanne Fauria, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1366163719
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.