Wendy Prevost LMSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801086422 Issued in MI

Legal business name

WENDY PREVOST LMSW

Practice address

104 E Washington St
Marquette, MI 49855-4318

Phone

(906) 228-3092

Fax

(906) 228-3092

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Authorized official

Name

Wendy Prevost, LMSW

Title

Owner

Phone

(906) 228-3092

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1790020535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E WASHINGTON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554318",
            "telephone_number": "906-228-3092",
            "fax_number": "906-228-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E WASHINGTON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554318",
            "telephone_number": "906-228-3092",
            "fax_number": "906-228-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY PREVOST LMSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "PREVOST",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-228-3092",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801086422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Weiss, MD
• Michael B Wellborn, LMSW
• Francis Patrick Welsh, M.D.
• Donald James Wendrick
• Beth Ann Wendricks, LMSW
• Miles Wenger
• Katelyn Elizabeth Johnson Wetton, DDS
• Matt Wheat
• David White
• Tyler Ren Wickett, ATC

• Community/Behavioral Health Agency in Marquette, MI
• Providers in Marquette, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.