Active NPI
Melissa Groman, LCSW and Therapy Associates LLC
- Clinical Social Worker
- Nutley, NJ
National Provider Identifier
1790162972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC04621400
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Marriage & Family Therapist
- Nutley, NJ
- NPI 1104751221
-
- Social Worker
- Nutley, NJ
- NPI 1073346235
-
- Clinical Social Worker
- Nutley, NJ
- NPI 1043384019
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.