Laurye Abraham, LCSW
Individual provider Active NPI Clinical Social Worker · Montclair, NJ
NPI 1689344855 · NPPES record last updated Jul 9, 2023
Key facts
- NPI
- 1689344855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC06229000 (NJ)
- Practice address
- 70 Park St Ste 209
Montclair, NJ 07042-2960 - Phone
- (973) 620-8239
- NPI assigned
- Sep 17, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
51 Upper Montclair PLZ
Suite 22
Montclair, NJ 07043-1340
Phone (973) 620-8239
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251231000478 | NJ | Practitioner - Clinical Social Worker | 2961998810 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06229000 | NJ | MD | Clinical Social Worker |
| 44SL06585100 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montclair Therapy Associates LLC | Clinical | Current |
Accepting new patients |
| David Helfgott PSYD LLC | Past |
Accepting new patients |
Locations
51 Upper Montclair Plz
Ste 22
Montclair, NJ 07043
Phone (973) 620-8239
70 Park St
Ste 209
Montclair, NJ 07042
Phone (973) 620-8239
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL06585100 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC06229000 | NJ | Yes |
Addresses
Primary practice location
70 Park St Ste 209
Montclair, NJ 07042-2960
Mailing address
44 Glen Ridge Pkwy
Glen Ridge, NJ 07028-1812
Phone (973) 303-3048
Other providers in Montclair, NJ
- Courtney Ann Cali Abasto
- Amanda H. Abdelaal
- Rana Abdeljaber
- Tyler M Abdi-Moti
- Valerie J Ablaza
- Rini Abraham
- Sosa Anna Abraham
- Brian Abrams
- Judith Abrams
- Samantha Isabel Abrams
All providers in Montclair, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.