Provider Demographics
NPI:1588196570
Name:DODD, WENDY SUE (LMSW)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:SUE
Last Name:DODD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-2822
Mailing Address - Country:US
Mailing Address - Phone:785-248-9507
Mailing Address - Fax:
Practice Address - Street 1:1302 S MAIN ST STE 8
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-3533
Practice Address - Country:US
Practice Address - Phone:785-367-3459
Practice Address - Fax:785-267-6865
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2025-02-05
Deactivation Date:2025-01-29
Deactivation Code:
Reactivation Date:2025-02-03
Provider Licenses
StateLicense IDTaxonomies
KS9699104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker