ILLUME PSYCHOTHERAPY LLC NPI 1285219576

NPI Details

ILLUME PSYCHOTHERAPY LLC is a clinical social worker in Bloomfield, NJ. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. ILLUME PSYCHOTHERAPY LLC NPI is 1285219576. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

440 FRANKLIN ST STE 200
BLOOMFIELD, NJ
ZIP 07003-379
Phone: (973) 206-0282

The provider's authorized official is Stacia Thiel .
The authorized official title is Founder/therapist and has the following contact phone number (973) 206-0282.

The enumeration date for this NPI number is 3/17/2021 and was last updated on 3/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: