Provider Demographics
NPI:1568550267
Name:WESSELINK, NANCY (LMSW CEAP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:WESSELINK
Suffix:
Gender:F
Credentials:LMSW CEAP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:BALKCOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:206 TEAL COURT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115
Mailing Address - Country:US
Mailing Address - Phone:770-683-1327
Mailing Address - Fax:770-683-1328
Practice Address - Street 1:37 F CALUMET PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263
Practice Address - Country:US
Practice Address - Phone:770-683-1327
Practice Address - Fax:770-683-1328
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA01619104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker