Wirth, Jennifer

Wirth, Jennifer is an sole proprietor health care provider with primary practice located at 86 Elgin Avenue , Westmont NJ 08108. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wirth, Jennifer can be contacted via phone (609) 828-2110.

Contact Information

Primary practice address
86 Elgin Avenue Westmont NJ 08108
Phone: (609) 828-2110
Fax: (856) 854-5423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05230400 New Jersey

Profile Details

NPI number 1851566533
LBN Legal business name Wirth, Jennifer
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2008
Last updated Apr 24th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851566533 NPPES
New Jersey MEDICAID 0037494

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