Active NPIIndividual providerSole proprietor

John Wyetzner, LSW

Social Worker, Clinical in Madison, New Jersey

NPI Number1770188344
Practice location
333 Main St Ste 200, Madison, NJ 07940-2370
Fax
—
Last updated
December 2, 2020

John Wyetzner is a Social Worker, Clinical based in Madison, NJ. John Wyetzner practices in Madison, NJ and has the professional credentials of LSW. The NPI Number for John Wyetzner is 1770188344 and holds a License No. 44SL06613000 (NJ). The current practice location address for John Wyetzner is 333 Main St Ste 200, Madison, NJ 07940-2370 and can be reached out via phone at 646-457-0735.

Provider Profile Details

NPI Number
1770188344
Provider Name
John Wyetzner
Credential
LSW
Provider Entity Type
Individual
Gender
Male
Address
333 Main St Ste 200, Madison, NJ 07940-2370
Phone Number
646-457-0735
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 2, 2020
Last Update Date
December 2, 2020
Certification Date
December 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
333 Main St Ste 200
Madison, NJ 07940-2370
Zip
07940-2370
Phone Number
646-457-0735
Madison, NJ 07940Get directions →

Provider Business Mailing Address Details

Address
333 Main St Ste 200
Madison, NJ 07940-2370
City
Madison
State
NJ
Zip
07940-2370
Phone Number
646-457-0735

License Information

License Number
44SL06613000
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 John Wyetzner, LSW?

The NPI number of John Wyetzner, LSW is 1770188344. It was assigned on December 2, 2020 and is currently active in the NPPES registry.

What is the specialty of John Wyetzner, LSW?

John Wyetzner, LSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL06613000.

Where does John Wyetzner, LSW practice?

The practice location is 333 Main St Ste 200, Madison, NJ 07940-2370. The office can be reached at 646-457-0735 (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 1770188344 directly on the NPPES registry website.

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