Provider Demographics
NPI:1922716927
Name:WUEST, KENDRA E (LCSW)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:E
Last Name:WUEST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:E
Other - Last Name:PASEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:633 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-3477
Mailing Address - Country:US
Mailing Address - Phone:920-973-2312
Mailing Address - Fax:
Practice Address - Street 1:424 E LONGVIEW DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-2167
Practice Address - Country:US
Practice Address - Phone:920-234-9240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10065-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical