Patricia Wissen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05273100 Issued in NJ

Practice address

890 Mountain Ave
New Providence, NJ 07974-1218

Phone

(908) 277-8900

Fax

(908) 508-8919

NPI assigned

Oct 4, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wissen Psychotherapy Center LLC

  • Clinical Social Worker
  • Millburn, NJ
  • NPI 1942962857
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1245549500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SANDRA LN",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691509",
            "telephone_number": "908-451-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 MOUNTAIN AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741218",
            "telephone_number": "908-277-8900",
            "fax_number": "908-508-8919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Sandra Ln",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "NJ",
            "postal_code": "078691509",
            "country_code": "US",
            "telephone_number": "908-451-2634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISSEN",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05273100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward George Watson Jr., LCSW
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• Madison Blake Winkler, LAC
• Rosa Maria Wippich
• Judith Ilene Wollack-Letson, LCSW
• Charissa J Wong, MD
• Zenas Wong, RPH
• Abrina Wright
• Your Kid'S Urgent Care of New Jersey

• Clinical Social Worker in New Providence, NJ
• Providers in New Providence, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.