Joanne Iwama, LSW

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

44SL06135800 Issued in NJ

Practice address

90 W Main St
Freehold, NJ 07728-2144

Phone

(732) 648-6423

NPI assigned

Feb 23, 2016

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

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": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1699134379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MAPLEWOOD AVE",
            "city": "RUMSON",
            "state": "NJ",
            "postal_code": "077601762",
            "telephone_number": "732-233-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282144",
            "telephone_number": "732-648-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWAMA",
        "first_name": "JOANNE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NJ",
            "license": "44SL06135800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychoanalyst in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Psychoanalyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.