Active NPI
Judeth F Wesley, RN, LCSW, LCADC
- Clinical Social Worker
- Cedar Knolls, NJ
National Provider Identifier
1316337116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05402500
- Practice address
- 502 Spring Hollow Dr
Cedar Knolls, NJ 07927-2405 - Phone
- (973) 943-0805
- NPI assigned
- Jan 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00122300 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05402500 | NJ | Primary |
Addresses
Primary practice location
502 Spring Hollow Dr
Cedar Knolls, NJ 07927-2405
Mailing address
PO Box 123
Cedar Knolls, NJ 07927-0123
Phone (973) 943-0805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00122300 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SC05402500 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422662400000",
"number": "1316337116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 123",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079270123",
"telephone_number": "973-943-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 SPRING HOLLOW DR",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079272405",
"telephone_number": "973-943-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESLEY",
"first_name": "JUDETH",
"middle_name": "F",
"credential": "RN, LCSW, LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-31",
"last_updated": "2015-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00122300",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05402500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Knolls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.