Active NPIIndividual providerSole proprietor

Kristen Wistuba, LCSW

Social Worker, Clinical in Matawan, New Jersey

NPI Number1265898647
Practice location
2 Sutton Dr Apt S10, Matawan, NJ 07747-2739
Fax
—
Last updated
January 14, 2016

Kristen Wistuba is a Social Worker, Clinical based in Matawan, NJ. Kristen Wistuba practices in Matawan, NJ and has the professional credentials of LCSW. The NPI Number for Kristen Wistuba is 1265898647 and holds a License No. 44SC05643300 (NJ). The current practice location address for Kristen Wistuba is 2 Sutton Dr Apt S10, Matawan, NJ 07747-2739 and can be reached out via phone at 732-277-6078.

Provider Profile Details

NPI Number
1265898647
Provider Name
Kristen Wistuba
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
2 Sutton Dr Apt S10, Matawan, NJ 07747-2739
Phone Number
732-277-6078
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 14, 2016
Last Update Date
January 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Sutton Dr Apt S10
Matawan, NJ 07747-2739
Zip
07747-2739
Phone Number
732-277-6078
Matawan, NJ 07747Get directions →

Provider Business Mailing Address Details

Address
2 Sutton Dr Apt S10
Matawan, NJ 07747-2739
City
Matawan
State
NJ
Zip
07747-2739

License Information

License Number
44SC05643300
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristen Wistuba, LCSW?

The NPI number of Kristen Wistuba, LCSW is 1265898647. It was assigned on January 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Kristen Wistuba, LCSW?

Kristen Wistuba, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05643300.

Where does Kristen Wistuba, LCSW practice?

The practice location is 2 Sutton Dr Apt S10, Matawan, NJ 07747-2739. The office can be reached at 732-277-6078 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265898647 directly on the NPPES registry website.

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