Provider Demographics
NPI:1285682708
Name:DREWS, WENDY KAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:KAY
Last Name:DREWS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3531 18TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-2811
Mailing Address - Country:US
Mailing Address - Phone:727-391-7101
Mailing Address - Fax:727-521-4638
Practice Address - Street 1:11590 SEMINOLE BLVD
Practice Address - Street 2:A-3 NORTHSTAR COUNSELING
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33778-3204
Practice Address - Country:US
Practice Address - Phone:727-391-7101
Practice Address - Fax:727-521-4638
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 59751041C0700X
MI68010809151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ0167Medicare ID - Type UnspecifiedMEDICARE