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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

WENDY F GILLENSON, LICSW
95 PLEASANT ST
LYNN, MA01901-1524
 Phone: 781-581-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for WENDY F GILLENSON · (Female)

NPI # 1003037342
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 05/02/2007
Last updated 04/15/2015 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 105032
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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