Clear Light Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLEAR LIGHT THERAPY LLC

Practice address

60 Chestnut Street
Building 4B
Englewood, NJ 07631

Phone

(609) 384-4874

NPI assigned

Jan 6, 2023

Last updated

Jan 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana M Colthart, MSW LCSWNPI 1245793710

Title

Psychotherapist/Owner

Phone

(609) 384-4874

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dana M Colthart, LSW

  • Social Worker
  • Palisades Park, NJ
  • NPI 1245793710
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1669186433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CHESTNUT STREET",
            "address_2": "BUILDING 4B",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "609-384-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CHESTNUT STREET",
            "address_2": "BUILDING 4B",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "609-384-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LIGHT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "COLTHART",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "609-384-4874",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1245793710",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerri Ciriello, BSW
• City of Englewood (Englewood Fire Dept EMS)
• City of Englewood
• Cityview Surgical Center (NYC Joint and Spine Center)
• Letisha Clarke-McFarlane
• Martinez Clement, MD
• CMD Anesthesia PC
• CMD NJ PC
• Matthew Cochardo, PHARMD
• Cohen Rosen Kaufman and Chen DPM PA

• Clinical Social Worker in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.