Provider Demographics
NPI:1821034802
Name:WINDT, WENDLA DOROTHY (LICSW,CADACII,LADC)
Entity Type:Individual
Prefix:MS
First Name:WENDLA
Middle Name:DOROTHY
Last Name:WINDT
Suffix:
Gender:F
Credentials:LICSW,CADACII,LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 FREEMAN RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-4824
Mailing Address - Country:US
Mailing Address - Phone:978-250-9525
Mailing Address - Fax:
Practice Address - Street 1:3 COURTHOUSE LN
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1722
Practice Address - Country:US
Practice Address - Phone:978-275-9444
Practice Address - Fax:978-275-9918
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1109881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP23674Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER