Provider Demographics
NPI:1083030126
Name:WEYHMILLER, DENEISE (MSW)
Entity Type:Individual
Prefix:
First Name:DENEISE
Middle Name:
Last Name:WEYHMILLER
Suffix:
Gender:F
Credentials:MSW
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 817
Mailing Address - Street 2:220 S MAIN STREET
Mailing Address - City:KENDALLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46755-0817
Mailing Address - Country:US
Mailing Address - Phone:260-347-2453
Mailing Address - Fax:260-347-2456
Practice Address - Street 1:2155 N STATE ROAD 9
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:IN
Practice Address - Zip Code:46761-8746
Practice Address - Country:US
Practice Address - Phone:260-463-7144
Practice Address - Fax:260-463-7146
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN581480013Medicare PIN