Individual provider · Type 1 NPI

Colette Brantley, LSW

Clinical Social Worker · West Orange, NJ

NPI number 1013316512 Active

Practice location

642 Eagle Rock Ave, Suite 6
West Orange, NJ 07052-2954

Call (862) 704-6391 Map

Fax (862) 704-6392

Mailing address

185 East Palisade Avenue, A2B
Englewood, NJ 07631-3151

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	44SL05773100 (NJ)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1013316512

Colette Brantley, LSW's National Provider Identifier is 1013316512, issued on Aug 20, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Orange, NJ. The record was last updated on Aug 20, 2014.