Active NPI
Victoria Anne Woertz, LCSW, RD
- Clinical Social Worker
- Montclair, NJ
National Provider Identifier
1982113940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05744400
- Practice address
- 103 Park St Ste 2D
Montclair, NJ 07042-2935 - Phone
- (201) 686-4500
- NPI assigned
- Sep 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Registered Dietitian | 133V00000X | 897028 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05744400 | NJ | Primary |
Addresses
Primary practice location
103 Park St Ste 2D
Montclair, NJ 07042-2935
Mailing address
103 Park St Ste 2D
Montclair, NJ 07042-2935
Phone (201) 686-4500
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 |
|---|---|---|---|
| 44SC05744400 | NJ | MD | Clinical Social Worker |
| 897028 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982113940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 PARK ST STE 2D",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422935",
"telephone_number": "201-686-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PARK ST STE 2D",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422935",
"telephone_number": "201-686-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOERTZ",
"first_name": "VICTORIA",
"middle_name": "ANNE",
"credential": "LCSW, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "897028",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05744400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.