Provider Demographics
NPI:1518268218
Name:KAPLAN, WENDI R (LCSW)
Entity Type:Individual
Prefix:MS
First Name:WENDI
Middle Name:R
Last Name:KAPLAN
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 1:721 GIBBON ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4107
Mailing Address - Country:US
Mailing Address - Phone:703-739-9763
Mailing Address - Fax:
Practice Address - Street 1:721 GIBBON ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4107
Practice Address - Country:US
Practice Address - Phone:703-739-9763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040015821041C0700X
MD058321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical