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

Individual provider Clinical Social Worker · NPI 1144978404

Taisia Lynn Koeppel, LCSW is a Clinical Social Worker in Montclair, New Jersey. Qualified in 2013, 13 years ago. Practices with Mental Health Association of Essex and Morris, Inc, a 14-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

33 S Fullerton Ave
Montclair, NJ 07042-6392
Phone: (973) 509-9777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05659600 (NJ)

Record details

NPI number1144978404
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 16, 2022
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mental Health Association Of Essex And Morris, Inc. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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