Nicole Kries-Wyszynski, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05838400 Issued in NJ

Practice address

129 Regina Ave
Hamilton, NJ 08619-2203

Phone

(732) 674-7025

NPI assigned

Oct 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Full Spectrum Therapy Partners II

  • Clinical Social Worker
  • Hamilton, NJ
  • NPI 1275115131
  NPD Authorized official
• Nicole Kries Wyszynski LCSW

  • Clinical Social Worker
  • Hamilton, NJ
  • NPI 1487368734
  NPD

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1871997403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 REGINA AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192203",
            "telephone_number": "732-674-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 REGINA AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192203",
            "telephone_number": "732-674-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIES-WYSZYNSKI",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "44SL05838400",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05838400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Kotteles, PT, DPT
• Thomas Kovaleski
• Magdalena Julia Kowalik, AGACNP-BC
• Dawn M Kraft, M.S., CCC-SLP
• Kristen Kraska, PT, DPT
• Mona Krishan, DOCTORATE
• Janet F. Krommes, M.D.
• Shefali Kumar
• Katrina Kupski
• Navatha Kurugundla, MD

• Social Worker in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.