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
Phone: (609) 575-1316
Fax: (609) 208-1750
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659520401 | NPPES |
New Jersey | MEDICAID | 0385433 | |
New Jersey | MEDICAID | 0169528 |
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