Provider Demographics
NPI:1316312226
Name:HENNING, WENDI (MSW)
Entity type:Individual
Prefix:
First Name:WENDI
Middle Name:
Last Name:HENNING
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10580 HIGHLAND RD
Mailing Address - Street 2:SUITE 284
Mailing Address - City:WHITE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48386-2142
Mailing Address - Country:US
Mailing Address - Phone:248-789-1114
Mailing Address - Fax:313-745-5237
Practice Address - Street 1:3901 BEAUBIEN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2119
Practice Address - Country:US
Practice Address - Phone:313-745-5510
Practice Address - Fax:313-745-5237
Is Sole Proprietor?:No
Enumeration Date:2015-12-03
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010898801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical