Healthcare Provider Details

I. General information

NPI: 1841201126
Provider Name (Legal Business Name): WENDY WUNSCH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3146 E FORT LOWELL RD
TUCSON AZ
85716-1670
US

IV. Provider business mailing address

14274 N CHAPARRAL SAGE RD
MARANA AZ
85658-5143
US

V. Phone/Fax

Practice location:
  • Phone: 847-946-3199
  • Fax:
Mailing address:
  • Phone: 847-946-3199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number149009005
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.009005
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: