Organization · Type 2 NPI

Minds Wide Open Psychotherapy, LLC

Clinical Social Worker · Wyckoff, NJ

NPI number 1225980832 Active

Practice location

529 Helena Ave
Wyckoff, NJ 07481-1220

Mailing address

PO Box 131
Midland Park, NJ 07432-0131

Other practice locations

  • 33 Plymouth St Ste 106, Montclair, NJ 07042-2677 · (201) 416-9622

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1225980832

Minds Wide Open Psychotherapy, LLC's National Provider Identifier is 1225980832, issued on Feb 14, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wyckoff, NJ. The record was last updated on Feb 14, 2026.