Constance Wieczorek, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SL05390800 Issued in NJ

Practice address

249 Virginia Ave
Jersey City, NJ 07304-1423

Phone

(201) 798-9900

Fax

(201) 659-6216

NPI assigned

May 10, 2011

Sex

Female

Sole proprietor

No

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": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1730471632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 COOPER LN",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302636",
            "telephone_number": "201-798-9900",
            "fax_number": "201-659-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 VIRGINIA AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041423",
            "telephone_number": "201-798-9900",
            "fax_number": "201-659-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECZOREK",
        "first_name": "CONSTANCE",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05390800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Whitcomb, RD
• Amari M. White, D.P.M.
• Qunita S Whitely
• Ronda M Whitley, MD
• Elizabeth Wick, PTA
• Celina Marie Wigle-Olias-Varga, LSW
• Samantha Hope Wilcox, PA-C
• Dafna Rachel Wild, PA
• Lietea Wilkins
• Jackqueline A Williams Clifton

• Clinical Social Worker in Jersey City, NJ
• Providers in Jersey City, 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 May 10, 2011; 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.