Organization Active NPI

Melissa Groman, LCSW and Therapy Associates LLC

  • Clinical Social Worker
  • Nutley, NJ
National Provider Identifier
1790162972
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04621400 Issued in NJ
Legal business name
MELISSA GROMAN, LCSW AND THERAPY ASSOCIATES LLC
Practice address
661 Franklin Ave
Nutley, NJ 07110-1209
Phone
(973) 667-8777
NPI assigned
Apr 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Melissa Groman, LCSW
Title
LCSW Owner
Phone
(973) 667-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC04621400 NJ Primary

Addresses

Primary practice location

661 Franklin Ave
Nutley, NJ 07110-1209

Mailing address

661 Franklin Ave
Nutley, NJ 07110-1209
Phone (973) 667-8777

National Provider Directory

National Provider Directory

Locations

661 Franklin Ave
Nutley, NJ 07110
Phone (908) 627-1937

Practitioners & affiliated clinicians

Practitioners 3

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": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1790162972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101209",
            "telephone_number": "973-667-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101209",
            "telephone_number": "973-667-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA GROMAN, LCSW AND THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "GROMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LCSW OWNER",
        "authorized_official_telephone_number": "973-667-8777",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04621400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.