Wendyleigh Kathleen Bodick, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Cornelius, NC
NPI 1699727735 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1699727735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C003703 (NC)
- Practice address
- 21300 Catawba Ave
Cornelius, NC 28031-8505 - Phone
- (704) 892-2254
- Fax
- (704) 892-0366
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003703 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C003703 | NC | Yes |
Addresses
Primary practice location
21300 Catawba Ave
Cornelius, NC 28031-8505
Mailing address
113 Davidson Ridge LN
Mooresville, NC 28115-7800
Phone (704) 892-2254
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002858 | Medicaid | NC |
Other providers in Cornelius, NC
- Abigail Blakley
- Andrew Deaton Blodgett
- Bloomstead Counseling PLLC
- Blue Heel Consulting LLC
- Bluestone Psychotherapy
- Body Electric
- Tanika R Bolar-Byrd
- Angela Bollinger
- Tina Bolon
- Anna Bordeaux
All providers in Cornelius, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.