Provider Demographics
NPI:1386412708
Name:HOERNER, WENDY JO (LSW)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:JO
Last Name:HOERNER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:JO
Other - Last Name:DEPEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:1521 CEDAR CLIFF DR
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-7706
Mailing Address - Country:US
Mailing Address - Phone:484-509-1079
Mailing Address - Fax:844-287-5389
Practice Address - Street 1:1521 CEDAR CLIFF DR
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7706
Practice Address - Country:US
Practice Address - Phone:484-509-1079
Practice Address - Fax:844-287-5389
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1252101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical