Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Joseph John Wittenberg, LICSW

Individual provider Clinical Social Worker · NPI 1073788386

Mr. Joseph John Wittenberg, LICSW is a Clinical Social Worker in Coon Rapids, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2008
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

11220 Crocus St NW
Coon Rapids, MN 55433 Not confirmed with CMS for 18 years — call before visiting
Phone: (763) 767-4702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 15449 (MN)

Record details

NPI number1073788386
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 28, 2008
Last updated in NPPESApril 28, 2008

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