Deanne E Wientge, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60109860 Issued in WA

Practice address

619 Commercial Ave
Suite 25
Anacortes, WA 98221-1730

Phone

(425) 583-0194

NPI assigned

Dec 17, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Deanne E Dunsford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1962731182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982210065",
            "telephone_number": "425-583-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 COMMERCIAL AVE",
            "address_2": "SUITE 25",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211730",
            "telephone_number": "425-583-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENTGE",
        "first_name": "DEANNE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60109860",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004024130",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "1600924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNE",
            "last_name": "DUNSFORD",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzan April White-House, LHMC
• David Maurice White, LMFT
• Erin White
• Tammie Kay White, LCSW
• Rachael C Whittall, L.M.P.
• Sally Wilbur
• Susanne Wilhelm, D.O.
• Angeline E Williams
• Kathryn Williams, FNP-C
• Kristine Williams, LMHC

• Clinical Social Worker in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.