Provider Demographics
NPI:1710993886
Name:WENGER, WILLIAM JOSEPH (LMSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:WENGER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:36 W MANCHESTER ST
Mailing Address - Street 2:HELP NET
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49037-3016
Mailing Address - Country:US
Mailing Address - Phone:269-660-3874
Mailing Address - Fax:269-660-3899
Practice Address - Street 1:36 W MANCHESTER ST
Practice Address - Street 2:HELP NET
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49037-3016
Practice Address - Country:US
Practice Address - Phone:269-660-3874
Practice Address - Fax:269-660-3899
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010194061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical