Active NPI
Wendy Lyn Chauncey, L.C.S.W.
- Clinical Social Worker
- Robbinsville, NJ
National Provider Identifier
1659520401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00661900
- Practice address
- 23 North St
Robbinsville, NJ 08691 - Phone
- (609) 575-1316
- Fax
- (609) 208-1750
- NPI assigned
- Sep 17, 2008
- 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 |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | 44SC00661900 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC00661900 | NJ | Primary |
Addresses
Primary practice location
23 North St
Robbinsville, NJ 08691
Mailing address
23 North St
Robbinsville, NJ 08691
Phone (609) 575-1316
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0385433 | Medicaid | NJ | |
| 0169528 | Medicaid | NJ |
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 |
|---|---|---|---|
| 44SC00661900 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1659520401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 NORTH ST",
"city": "ROBBINSVILLE",
"state": "NJ",
"postal_code": "08691",
"telephone_number": "609-575-1316",
"fax_number": "609-208-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 NORTH ST",
"city": "ROBBINSVILLE",
"state": "NJ",
"postal_code": "08691",
"telephone_number": "609-575-1316",
"fax_number": "609-208-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUNCEY",
"first_name": "WENDY",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NJ",
"license": "44SC00661900",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00661900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0385433",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0169528",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Robbinsville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.