NPI 1073788386

Joseph John Wittenberg, LICSW

Practitioner Clinical Social Worker Coon Rapids, MN

Practice location

Address: 11220 Crocus St NW, Coon Rapids, MN 55433
Phone: (763) 767-4702

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 15449 (MN)

Other Social Worker providers in Minnesota →

Registry record

NPI: 1073788386
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2008
Record last updated: 28 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.