Individual provider Active NPI

Nerlande Therlonge

  • Clinical Social Worker
  • Orange, NJ
National Provider Identifier
1992303051
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06389200 Issued in NJ
Practice address
561 Morris St
Orange, NJ 07050-1116
Phone
(862) 246-6296
NPI assigned
Oct 12, 2020
Last updated
Sep 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Clinical Social Worker 1041C0700X 44SC06389200 NJ Primary

Addresses

Primary practice location

561 Morris St
Orange, NJ 07050-1116

Mailing address

561 Morris St
Orange, NJ 07050-1116
Phone (862) 246-6296

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
I20241125002417 NJ Practitioner - Clinical Social Worker 8729513908 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06389200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health - Behavioral Health Single Specialty CurrentSince May 27, 2025 Accepting new patients
Elderology, LLC Mental Health CurrentSince Nov 12, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Nov 20, 2024 Accepting new patients
Rutgers Health - Behavioral Health Single Specialty Current Accepting new patients

Locations

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

61 Pearl St
Metuchen, NJ 08840
Phone (908) 514-8590

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1992303051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 MORRIS ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501116",
            "telephone_number": "862-246-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 MORRIS ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501116",
            "telephone_number": "862-246-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERLONGE",
        "first_name": "NERLANDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06389200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, NJ

Sources for this page

Verify at the official NPI Registry.