Wendy Sue Wectawski, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33008267A Issued in IN

Practice address

340 Commerce SQ
Michigan City, IN 46360-3374

Phone

(219) 879-3283

Fax

(219) 879-6965

NPI assigned

Aug 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Samaritan Counseling Centers, Inc

  • Preferred Provider Organization
  • Michigan City, IN
  • NPI 1417083460
  NPD

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1942811831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 COMMERCE SQ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603374",
            "telephone_number": "219-879-3283",
            "fax_number": "219-879-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 COMMERCE SQ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603374",
            "telephone_number": "219-879-3283",
            "fax_number": "219-879-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECTAWSKI",
        "first_name": "WENDY",
        "middle_name": "SUE",
        "name_prefix": "Prof.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33008267A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Elizabeth Webdell
• Weber Family Dentistry LLC
• Catherine Weber, RPA
• Douglas W Weber, DDS
• James D Weber, D.D.S.
• Weldon Cooke MD LLC
• Weldon Cooke MD LLC
• Weninger Medical Corp
• Donald L Weninger, M.D.
• Michael W Westfall, DO

• Social Worker in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.