Active NPI
Danielle Wittner
- Addiction (Substance Use Disorder) Counselor
- Sparta, NJ
National Provider Identifier
1578186243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37LC00306800
- Practice address
- 25 Main St
Sparta, NJ 07871-1937 - Phone
- (862) 268-3101
- NPI assigned
- May 28, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL065586 | NJ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00306800 | NJ | Primary |
Addresses
Primary practice location
25 Main St
Sparta, NJ 07871-1937
Mailing address
202 Rockaway Ave
Rockaway, NJ 07866-3909
Phone (973) 216-4649
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Sparta |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00306800 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SL065586 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1578186243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 ROCKAWAY AVE",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078663909",
"telephone_number": "973-216-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MAIN ST",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711937",
"telephone_number": "862-268-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTNER",
"first_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-28",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL065586",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00306800",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Sparta",
"affiliation": "N",
"endpointDescription": "willowtreetherapyservices.com",
"address_1": "25 Main St",
"city": "Sparta",
"state": "NJ",
"country_code": "US",
"postal_code": "078711937",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sparta, NJ
- Willowglen Academy-New Jersey, Inc.
- Willowglen Academy-New Jersey, Inc.
- Willowglen Academy-New Jersey, Inc.
- Willowglen Academy-New Jersey, Inc.
- Willowglen Academy-NJ Inc
- William August Wolf, MA, NCC, LAC
- Womens Diagnostic Center, P.a. (The ImageCare Centers)
- Brittany Anne Wool, LPC
- Catherine Marie Wroclawski, DMD
- WSSH Powerback Rehabilitation Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.