Active NPI
Nancy M. Walther, MA, MSW, LCSW, LCADC
- Mental Health Counselor
- Upper Montclair, NJ
National Provider Identifier
1972865962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 44SC05503800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johannarosenfield LLC | Past | 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.
-
- Clinical Social Worker
- Montclair, NJ
- NPI 1578339925
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
- Upper Montclair Dental Associates
- Upper Montclair Psychological Associates, LLC
- Michele D Vallone, MSW, LCSW
- Deepti-Sagar Varma, M.D
- Verne Psychotherapy and Wellness LLC
- Carol R. Wenzel-Rideout, PSY.D.
- Margaret Lebo White, PHD
- Ronald Keith Willenborg, M.D.
- Wolfersberger Counseling & Consulting LLC
- Brittany Francia Wolfson- Hahn, LPC, LPAT, ATR-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.