Organization · Type 2 NPI

Illume Psychotherapy LLC

Clinical Social Worker · Montclair, NJ

NPI number 1285219576 Active

Practice location

8 Hillside Ave Ste 202
Montclair, NJ 07042-2129

Mailing address

41 Watchung Plz # 176
Montclair, NJ 07042-4117

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 1285219576

Illume Psychotherapy LLC's National Provider Identifier is 1285219576, issued on Mar 17, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Montclair, NJ. The record was last updated on Mar 3, 2026.