Individual provider Active NPI

Dorothy B Wiltshire, MSW, LCSW, BCD

  • Marriage & Family Therapist
  • Teaneck, NJ
National Provider Identifier
1821144189
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
SC14196 Issued in NJ
Practice address
668 Ogden Ave
Teaneck, NJ 07666-2202
Phone
(201) 538-4164
Fax
(704) 921-1420
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X SC14196 NJ Primary

Addresses

Primary practice location

668 Ogden Ave
Teaneck, NJ 07666-2202

Mailing address

668 Ogden Ave
Teaneck, NJ 07666-2202
Phone (201) 538-4164

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC14196NJMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1821144189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 OGDEN AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662202",
            "telephone_number": "201-538-4164",
            "fax_number": "704-921-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 OGDEN AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662202",
            "telephone_number": "201-538-4164",
            "fax_number": "704-921-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTSHIRE",
        "first_name": "DOROTHY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "SC14196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.