MR. CHARLES HARLAN WUTH (NPI# 1811103633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811103633 |
Entity Type | Individual |
Full Name | MR. CHARLES HARLAN WUTH |
Credential | LCSW |
Practice Address |
608 Blanchard Pkwy Allenhurst NJ 07711-1304 |
Practice Telephone | 7325171051 |
Mailing Telephone | 7325171051 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
X | 1041C0700X |
Social Worker Specialization: Clinical |
44SC01378600 | NJ | Behavioral Health & Social Service Providers |
Street Address |
608 BLANCHARD PKWY |
City | ALLENHURST |
State | NJ |
Zip Code | 07711-1304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720291552 | Gary Eugene Siciliano | Dentist | 110 Main Street, Allenhurst, NJ 07711 | 2007-05-08 |
1174064729 | Elaine Cannizzaro | Counselor | 317 Elberon Ave, Allenhurst, NJ 07711-1014 | 2017-03-15 |
1700121993 | Family Hearing Center | Hearing Instrument Specialist | 402 Main St, Allenhurst, NJ 07711-1040 | 2012-11-29 |
1902042914 | Shelley Secoolish Hamilton | Audiologist | 402 Main St, Allenhurst, NJ 07711-1040 | 2008-12-22 |
1003052267 | American Family Tinnitus Center LLC | Audiologist | 402 Main St, Allenhurst, NJ 07711-1040 | 2008-12-18 |
1710963954 | Jennifer Ann Schaal-sampson | Audiologist | 402 Main St, Allenhurst, NJ 07711-1040 | 2005-12-20 |
1669516126 | David Moss | Dentist | 100 Main St, Allenhurst, NJ 07711-1131 | 2007-02-17 |
1215071543 | Sandra Prince-embury | Psychologist | 413 Spier Ave, Allenhurst, NJ 07711-1132 | 2007-02-19 |
1770963183 | East-west Medical Care of New Jersey LLC | Internal Medicine | 560 Main St, Unit 1e, Loch Arbour, NJ 07711-1231 | 2015-06-02 |
1578814620 | Amy Sennett Woerner | Counselor | 560 Main St, Suite 1e, Loch Arbour, NJ 07711-1231 | 2012-09-28 |
Find all providers in zip 07711 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083212617 | Jeanette Roma | Counselor | 340 U S 9, Bayville, NJ 08721-0872 | 2020-10-15 |
1467069963 | Caitlyn Higgins | Counselor | 6 Hemlock Ln, Marlboro, NJ 07746-1213 | 2020-09-28 |
1225643760 | Lorianne Toth | Counselor | 11 Beckett St, Clayton, NJ 08312-2408 | 2020-09-11 |
1043823263 | Ramona Leclaire | Counselor | 111 Rte 35, Cliffwood, NJ 07721-1512 | 2020-08-27 |
1114539996 | Edward Michael Cunningham | Counselor | 6 Bently Dr, Sewell, NJ 08080-1827 | 2020-08-21 |
1043821697 | Margarette Charles | Counselor | 180 Tices Ln Ste 202, East Brunswick, NJ 08816-1345 | 2020-08-16 |
1306457866 | Brooke Aymes | Counselor | 1 E Lakeview Ave, Oaklyn, NJ 08107-1346 | 2020-08-10 |
1447869441 | Olivia Benoit | Counselor | 623 English Ct, South Plainfield, NJ 07080-2339 | 2020-07-24 |
1487272431 | Alexandra Knight | Counselor | 306 Washington St Ste 303&304, Hoboken, NJ 07030-5162 | 2020-07-07 |
1285252296 | Gage Blanck-singer | Counselor | 115 Old Short Hills Rd Apt 563, West Orange, NJ 07052-1048 | 2020-07-07 |
Find all providers with the same taxonomy |
City | ALLENHURST |
Zip Code | 07711 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.