Provider Demographics
NPI:1184900375
Name:WENDEL, BERNADETTE MARY (LCSW-C)
Entity type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:MARY
Last Name:WENDEL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3136 BIRCH BROOK LN
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2735
Mailing Address - Country:US
Mailing Address - Phone:443-528-3223
Mailing Address - Fax:
Practice Address - Street 1:3136 BIRCH BROOK LN
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-2735
Practice Address - Country:US
Practice Address - Phone:443-528-3223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13760104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker