Mandala Integrative Therapy and Professional Development
NPI 1104715556 · Clinical Social Worker · Short Hills, NJ
Mandala Integrative Therapy and Professional Development is a Clinical Social Worker organization in Short Hills, NJ (NPI 1104715556).
Provider details
- NPI number
- 1104715556
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jacqueline Crocker, Owner(908) 460-8003
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-01
- Last updated
- 2026-05-09
- Certified
- 2026-05-09
Frequently asked questions
- What is Mandala Integrative Therapy and Professional Development's NPI number?
- Mandala Integrative Therapy and Professional Development's National Provider Identifier (NPI) is 1104715556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mandala Integrative Therapy and Professional Development?
- Mandala Integrative Therapy and Professional Development is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mandala Integrative Therapy and Professional Development located?
- Mandala Integrative Therapy and Professional Development's practice location on file with NPPES is 514 Millburn Ave # 2009, Short Hills, NJ 07078-2508.
- What is Mandala Integrative Therapy and Professional Development's phone number?
- The practice phone number listed in the NPPES registry for Mandala Integrative Therapy and Professional Development is (908) 460-8003.
- Who is the authorized official for Mandala Integrative Therapy and Professional Development?
- The authorized official listed on Mandala Integrative Therapy and Professional Development's NPPES record is Jacqueline Crocker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mandala Integrative Therapy and Professional Development's NPI active?
- Yes — Mandala Integrative Therapy and Professional Development's NPI (1104715556) is active in the NPPES registry as of the last update on 2026-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.