Carly Mae Clearwater
Individual provider Active NPI Pediatric Occupational Therapist · West Milford, NJ
NPI 1902506751 · NPPES record last updated Feb 6, 2026
Key facts
- NPI
- 1902506751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 46TR00887900 (NJ)
- Practice address
- 1554 Union Valley Rd
West Milford, NJ 07480-1357 - Phone
- (860) 575-0428
- NPI assigned
- Mar 8, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-320763 | NJ | MD | Lactation Consultant (Non-RN) |
| 46TR00887900 | NJ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brave Wings Academy, LLP | Past |
Accepting new patients | |
| Brave Wings Therapy, PC | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-320763 | NJ | |
| Pediatric Occupational Therapist | 225XP0200X | 46TR00887900 | NJ | Yes |
Addresses
Primary practice location
1554 Union Valley Rd
West Milford, NJ 07480-1357
Mailing address
424 Canistear Rd
Stockholm, NJ 07460-1832
Phone (860) 575-0428
Other providers in West Milford, NJ
- Center for Humanistic Change of NJ, Inc.
- Children'S Aid and Family Services, Inc.
- Children'S Aid and Family Services, Inc.
- Children'S Aid and Family Services, Inc.
- Mary Cizi
- Patricia J Clune
- Community Expo LLC
- Community Expo LLC
- Complete Care at Milford Manor LLC
- Olivia A Connell
All providers in West Milford, NJ · Pediatric Occupational Therapist 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 Feb 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.