Individual provider Active NPI

Nancy M. Walther, MA, MSW, LCSW, LCADC

  • Mental Health Counselor
  • Upper Montclair, NJ
National Provider Identifier
1972865962
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC05503800 Issued in NJ
Practice address
51 Upper Montclair PLZ
Upper Montclair, NJ 07043
Phone
(201) 704-6149
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC05503800 NJ Primary

Addresses

Primary practice location

51 Upper Montclair PLZ
Upper Montclair, NJ 07043

Mailing address

51 Upper Montclair PLZ
Upper Montclair, NJ 07043-1343
Phone (201) 540-8168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529001078 NJ Practitioner - Clinical Social Worker 3274853445 Practice locations: Upper Montclair, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

209 Cooper Ave
Suite 5D
Upper Montclair, NJ 07043-1850
Phone (201) 540-8168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Johannarosenfield LLC PastSince Dec 3, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1972865962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 UPPER MONTCLAIR PLZ",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431343",
            "telephone_number": "201-540-8168",
            "fax_number": "201-625-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 UPPER MONTCLAIR PLZ",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "07043",
            "telephone_number": "201-704-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTHER",
        "first_name": "NANCY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MA, MSW, LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05503800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Montclair, NJ

Sources for this page

Verify at the official NPI Registry.