MEDICARE: MS. CHRISTINE WELZER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC05179400	NJ

General Provider Information

NPI Number	:	1790826766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINE WELZER LCSW

Provider Business Mailing Address
First Line	:	1 PINE TER
Second Line	:
City	:	HIGHLAND LAKES
State	:	NJ
Zip	:	07422-1119
Country	:	US
Telephone Number	:	201-317-3768
Fax Number	:	973-764-3845

Provider Business Practice Location Address
First Line	:	171 WOODPORT RD
Second Line	:	2ND FLOOR
City	:	SPARTA
State	:	NJ
Zip	:	07871-2633
Country	:	US
Telephone Number	:	201-317-3768
Fax Number	:	973-764-3845

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2007
Last Update Date	:	05/04/2026

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