Chauncey, Wendy Lyn

Chauncey, Wendy Lyn is an sole proprietor health care provider with primary practice located at 23 North St , Robbinsville NJ 08691. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chauncey, Wendy Lyn can be contacted via phone (609) 575-1316.

Contact Information

Primary practice address
23 North St Robbinsville NJ 08691
Fax: (609) 208-1750
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 44SC00661900 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC00661900 New Jersey

Profile Details

NPI number 1659520401
LBN Legal business name Chauncey, Wendy Lyn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2008
Last updated Nov 17th, 2017 - about 8 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 1659520401 NPPES
New Jersey MEDICAID 0385433
New Jersey MEDICAID 0169528

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