Provider Demographics
NPI:1548159718
Name:BELDON, WENDY (LSW)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:BELDON
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 S DEFIANCE ST
Mailing Address - Street 2:
Mailing Address - City:ARCHBOLD
Mailing Address - State:OH
Mailing Address - Zip Code:43502-1406
Mailing Address - Country:US
Mailing Address - Phone:419-388-9700
Mailing Address - Fax:
Practice Address - Street 1:1115 N SHOOP AVE
Practice Address - Street 2:
Practice Address - City:WAUSEON
Practice Address - State:OH
Practice Address - Zip Code:43567-1857
Practice Address - Country:US
Practice Address - Phone:419-335-6122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33900386A104100000X
OHS.0031437104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker