Provider Demographics
NPI:1437498987
Name:JAMIESON, HAZEL WENDY (LCSW, LCADS, CSS)
Entity Type:Individual
Prefix:MS
First Name:HAZEL
Middle Name:WENDY
Last Name:JAMIESON
Suffix:
Gender:F
Credentials:LCSW, LCADS, CSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 392
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-0392
Mailing Address - Country:US
Mailing Address - Phone:609-737-1115
Mailing Address - Fax:609-730-9097
Practice Address - Street 1:86 WOOLSEY CT
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-1428
Practice Address - Country:US
Practice Address - Phone:609-690-3407
Practice Address - Fax:844-222-5671
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2022-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00359800106H00000X
NJ44SC055280001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty