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TRAUMA-INFORMED PSYCHOTHERAPY, LLC
NPI 1902396104
Social Worker - Clinical in Montclair, NJ

Active since May 14, 2018
101 PARK ST # 3, MONTCLAIR, NJ 07042(973) 447-4460 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2018, May 14, 2018 (2 updates tracked since 2018).

About Trauma-informed Psychotherapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAUMA-INFORMED PSYCHOTHERAPY, LLC (NPI 1902396104) is a healthcare organization registered as a clinical in Montclair, New Jersey and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Summit and lists Mark William Richardson, Owner, as its authorized official.

NPPES Registry Identity

NPI1902396104
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRAUMA-INFORMED PSYCHOTHERAPY, LLC
Location Address101 PARK ST # 3Montclair, NJ 07042-2963
Mailing Address45 Bayliss St # 2North Arlington, NJ 07031-5548 · (201) 377-8710
Phone(973) 447-4460
Organization SubpartNo
Authorized OfficialMark William RichardsonOwner · (201) 377-8710
Enumeration DateMay 14, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1902396104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05682000
Definition
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.
101 PARK ST # 3, Montclair, NJ 07042
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Other Names 1

Former Legal Business NameTrauma-informed Psychotherapy, Llc

Secondary Practice Location 1

Location 135 DeForest AveSummit, NJ 07901-2155 · Phone (973) 447-4460

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trauma-informed Psychotherapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Trauma-Informed Psychotherapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Richardson, MSW, LCSW
Clinical Social Worker
NPI 1699213785
201 LYONS AVE
Newark, NJ 07112
(973) 926-7741
✔ PECOS✔ Accepts Medicare7.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trauma-Informed Psychotherapy, LLC's NPI number?

The NPI number for Trauma-Informed Psychotherapy, LLC is 1902396104. It was assigned to this organization in the NPPES registry on May 14, 2018.

Where is Trauma-Informed Psychotherapy, LLC located?

Trauma-Informed Psychotherapy, LLC is located at 101 Park St # 3, Montclair, NJ 07042. The listed phone number is (973) 447-4460.

What is Trauma-Informed Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Trauma-Informed Psychotherapy, LLC enrolled in Medicare?

Yes. Trauma-Informed Psychotherapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trauma-Informed Psychotherapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Trauma-Informed Psychotherapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Trauma-Informed Psychotherapy, LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.