Provider Demographics
NPI:1851680730
Name:LIND, WENDI (LCSW, LSCSW)
Entity Type:Individual
Prefix:
First Name:WENDI
Middle Name:
Last Name:LIND
Suffix:
Gender:F
Credentials:LCSW, LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7011 W 156TH TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-3050
Mailing Address - Country:US
Mailing Address - Phone:913-709-6153
Mailing Address - Fax:
Practice Address - Street 1:7011 W 156TH TER
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-3050
Practice Address - Country:US
Practice Address - Phone:913-709-6153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20110033021041C0700X
KS40411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical