Provider Demographics
NPI:1972002350
Name:MYERS, WENDY APRIL (LCSW)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:APRIL
Last Name:MYERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17025 PERRY HWY
Mailing Address - Street 2:
Mailing Address - City:WARRENDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15086-7547
Mailing Address - Country:US
Mailing Address - Phone:724-933-0202
Mailing Address - Fax:
Practice Address - Street 1:17025 PERRY HWY
Practice Address - Street 2:
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-7547
Practice Address - Country:US
Practice Address - Phone:724-933-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0196771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical