Provider Demographics
NPI:1265491971
Name:NADOLNY, WENDY ANN (LCSW)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:ANN
Last Name:NADOLNY
Suffix:
Gender:
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:PO BOX 1281
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:CO
Mailing Address - Zip Code:81639-1281
Mailing Address - Country:US
Mailing Address - Phone:970-846-0492
Mailing Address - Fax:
Practice Address - Street 1:563 PERSHING ST
Practice Address - Street 2:
Practice Address - City:CRAIG
Practice Address - State:CO
Practice Address - Zip Code:81625-3005
Practice Address - Country:US
Practice Address - Phone:970-846-0492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO02929211041S0200X
CO000000061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool