Wendy L Koebel, LMSW ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802074742 Issued in MI

Practice address

5640 W Maple Rd
Suite 204
West Bloomfield, MI 48322-3716

Phone

(248) 321-1953

NPI assigned

Nov 12, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Wendy L Greenwood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 28, 2023 through Jan 28, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1083868491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 YASMIN DR",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483825202",
            "telephone_number": "248-321-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 W MAPLE RD",
            "address_2": "SUITE 204",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223716",
            "telephone_number": "248-321-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEBEL",
        "first_name": "WENDY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMSW ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802074742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "GREENWOOD",
            "middle_name": "L",
            "credential": "LMSW ACSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kendyll Anne Klingensmith, BEHAVIOR TECHNICIAN
• Diane Kay Klingler, R.N., ANP
• Knee Institute
• Maribeth Knight, D.O.
• Sydney Knisley
• Avi Yehuda Kohn
• Bernard Kole, M.D.
• Elizabeth Samantha Kole, LMSW
• Brian J Kolender, M.D.
• Cassandra Kondylis, ACNPC-AG

• Clinical Social Worker in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.