MR. CHARLES HARLAN WUTH


Address: 608 Blanchard Pkwy, Allenhurst, NJ 07711-1304
Phone: 7325171051

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 608 BLANCHARD PKWY
City ALLENHURST
State NJ
Zip Code 07711-1304

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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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
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Competitor

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City ALLENHURST
Zip Code 07711

Improve Information

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Dataset Information

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.

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