Provider Demographics
NPI:1306676325
Name:KAISER, WENDI A (LMSW)
Entity type:Individual
Prefix:
First Name:WENDI
Middle Name:A
Last Name:KAISER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 N ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:IA
Mailing Address - Zip Code:51401-2344
Mailing Address - Country:US
Mailing Address - Phone:712-525-0993
Mailing Address - Fax:712-525-9137
Practice Address - Street 1:603 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-2344
Practice Address - Country:US
Practice Address - Phone:712-525-0993
Practice Address - Fax:712-525-9137
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04203104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker