SIOMARA WEDDERBURN LSW - NPI 1093519571 - Counselor in Glassboro, NJ

Q: What is Siomara Wedderburn's NPI number?

The NPI number for Siomara Wedderburn is 1093519571. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Q: What is Siomara Wedderburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

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About Siomara Wedderburn Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIOMARA WEDDERBURN LSW (NPI 1093519571) is an individual mental health provider in Glassboro, New Jersey, licensed in New Jersey (44SL06845400) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1093519571

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSIOMARA WEDDERBURNCredential: LSW

Location Address42 DELSEA DR SGlassboro, NJ 08028-2621

Mailing Address42 Delsea Dr SGlassboro, NJ 08028-2621 · (844) 422-3632 · Fax (856) 881-5508

Phone(844) 422-3632

Fax(856) 881-5508

Sole ProprietorNo

Enumeration DateApril 3, 2025

NPPES CertifiedApril 2, 2025

✔ NPI 1093519571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NJ · 44SL06845400

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 44SL06845400 (NJ)

42 DELSEA DR S, Glassboro, NJ 08028

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSHUA P. DURAND LPC

Counselor (Professional)