MR. ROBERT J WIEDEMAN LMHC------CADAC
NPI 1407863681
Counselor in Worcester, MA

Active since August 01, 2006
72 JAQUES AVE, WORCESTER, MA 01610(508) 421-4507(508) 860-1068 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Robert J Wiedeman Lmhc------cadac NPPES

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

MR. ROBERT J WIEDEMAN LMHC------CADAC (NPI 1407863681) is an individual counselor in Worcester, Massachusetts, licensed in Massachusetts (1492) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1407863681
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. ROBERT J WIEDEMANCredential: LMHC------CADAC
Location Address72 JAQUES AVEWorcester, MA 01610-2476
Mailing Address44 Sherman GrvSpencer, MA 01562-1431 · (508) 885-9239 · Fax (508) 860-1068
Fax(508) 860-1068
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1407863681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MA · 1492
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
72 JAQUES AVE, Worcester, MA 01610

Other Identifiers 1

Other1492MA · Lmhc

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.

Social Worker (Clinical)
72 JAQUES AVE
WORCESTER, MA 01610
Registered Nurse
72 JAQUES AVE
WORCESTER, MA 01610
Social Worker (Clinical)
72 JAQUES AVE
WORCESTER, MA 01610
Clinic/Center (Mental Health (Including Community Mental Health Center))
72 JAQUES AVE
WORCESTER, MA 01610
Counselor (Mental Health)
72 JAQUES AVE
WORCESTER, MA 01610
Registered Nurse
72 JAQUES AVE
WORCESTER, MA 01610
Social Worker (Clinical)
72 JAQUES AVE
WORCESTER, MA 01610
Social Worker (Clinical)
72 JAQUES AVE
WORCESTER, MA 01610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Wiedeman's NPI number?

The NPI number for Robert Wiedeman is 1407863681. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Robert Wiedeman located?

Robert Wiedeman practices at 72 Jaques Ave, Worcester, MA 01610. The listed phone number is (508) 421-4507.

What is Robert Wiedeman's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Robert Wiedeman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.