Patricia Lynn Dewenter, LCSW
Counselor, Mental Health in Wyoming, MI. Individual provider (NPI-1).
NPI number1639243124
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1639243124
- Entity type
- Individual (NPI-1)
- Name
- Ms. Patricia Lynn Dewenter
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 6801062496 | MI | Yes |
Practice location
2875 Union Ct SeWyoming, MI 49548-1223
Phone 616-301-5742 · Fax 616-457-1087
Mailing address
2875 Union Ct SeWyoming, MI 49548-1223
Phone 616-301-5742 · Fax 616-457-1087
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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