Sarah Deena Wiedermann, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05518400 Issued in NJ

Practice address

13 Burgundy Way
Lakewood, NJ 08701-4670

Phone

(732) 534-2047

NPI assigned

Mar 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah D Greenes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1467219907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BURGUNDY WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014670",
            "telephone_number": "732-534-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BURGUNDY WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014670",
            "telephone_number": "732-534-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDERMANN",
        "first_name": "SARAH",
        "middle_name": "DEENA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05518400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GREENES",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary A White, CPNP-PC
• Jennifer L Whitman, PA-C
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• Dina Wieder, OTR/L
• Yehoshua Wiederkehr, PA-C
• Shmuel Wiesel
• Sarah Wikler
• Chana Wilamowsky, M.S. CCC-SLP
• Chaya Dusya Wilhelm, FNP - BC
• William M Zurich Jr MD Imrt LLC

• Clinical Social Worker in Lakewood, NJ
• Providers in Lakewood, 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 1, 2024; 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.