MS. WENDY WHITAKER MSW CSW CATC NPI 1255485371

NPI Information

NPI: 1255485371
Provider Name: MS. WENDY WHITAKER, MSW, CSW, CATC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1714 ABBEY RD
PIERRE, SD
ZIP 57501
Phone: (605) 224-8841
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MS. Wendy Whitaker, MSW, CSW, CATC is an addiction (substance use disorder) counselor in Pierre, SD. MS. Wendy Whitaker, MSW, CSW, CATC NPI is 1255485371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1714 ABBEY RD
PIERRE, SD
ZIP 57501-805
Phone: (605) 224-8841
Fax: (605) 224-6852

The enumeration date for this NPI number is 1/23/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	4251	SOUTH DAKOTA	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	020580	CALIFORNIA	X
3	1041C0700X	Social Worker	Clinical	2156	SOUTH DAKOTA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5350180	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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