Provider Demographics
NPI:1235891839
Name:WENDY GADWAH, LCSW
Entity Type:Organization
Organization Name:WENDY GADWAH, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GADWAH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-537-0757
Mailing Address - Street 1:107 CHURCH HILL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SANDY HOOK
Mailing Address - State:CT
Mailing Address - Zip Code:06482-1194
Mailing Address - Country:US
Mailing Address - Phone:203-270-9888
Mailing Address - Fax:203-426-8947
Practice Address - Street 1:107 CHURCH HILL RD STE 1
Practice Address - Street 2:
Practice Address - City:SANDY HOOK
Practice Address - State:CT
Practice Address - Zip Code:06482-1194
Practice Address - Country:US
Practice Address - Phone:203-270-9888
Practice Address - Fax:203-426-8947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty