Wendy Susan Datlow, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60907134 Issued in WA

Practice address

12026 Goshen Ave
Apt. 8
Los Angeles, CA 90049-6326

Phone

(215) 528-7344

NPI assigned

Jun 14, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1679894653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17824 33RD AVE NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981554017",
            "telephone_number": "215-528-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12026 GOSHEN AVE",
            "address_2": "APT. 8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496326",
            "telephone_number": "215-528-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATLOW",
        "first_name": "WENDY",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60907134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan C. Dasteel, MSW, PHD
• Van Anh Dastur, DDS
• Datacare Home Health Services, Inc
• Janice Y Date, PT
• Christopher Magpantay Datiles
• Waverly Anne Datner
• Tiffany Yvette Esguerra Dato
• Welile Datsomor
• Tanya Datta
• Vivekanand Datta, MD PHD

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.