Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ivan Thomas Smalls Jr.

Individual provider Counselor · NPI 1780338699

Mr. Ivan Thomas Smalls Jr. is a Counselor in East Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.

Licensed in
NJ
In the registry since
2022
Specialties on file
6

Practice location Address checks out

86 S Harrison St
East Orange, NJ 07018-1748
Phone: (973) 324-7891
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Counselor Taxonomy 101Y00000X
Counselor Taxonomy 101Y00000X (NJ)
Behavior Analyst Taxonomy 103K00000X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1780338699
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 9, 2022
Last updated in NPPESFebruary 9, 2022
Certification dateFebruary 9, 2022

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