Victoria Wendland, LCSW
Individual provider Active NPI Clinical Social Worker · Kent, CT
NPI 1497301279 · NPPES record last updated Jan 23, 2020
Key facts
- NPI
- 1497301279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 010689 (CT)
- Practice address
- 62 Carter Road
Kent, CT 06757 - Phone
- (860) 927-3772
- NPI assigned
- Aug 16, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010689 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medop Behavioral Health Associates PC | Clinical | Past |
Accepting new patients |
| High Watch Recovery Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10689 | ||
| Clinical Social Worker | 1041C0700X | 010689 | CT | Yes |
Addresses
Primary practice location
62 Carter Road
Kent, CT 06757
Mailing address
62 Carter Road PO Box 607
Kent, CT 06757-0607
Phone (860) 927-3772
Other providers in Kent, CT
- The Kent, LTD.
- Dan Traub
- Rebecca Lu Trautmann
- Kayla R Trombley
- Lauren Watson
- Joseph Wessex
- Sarah E Williamson
- Lauren M. Woods
All providers in Kent, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.