Healthcare Provider Details

I. General information

NPI: 1073008082
Provider Name (Legal Business Name): WENDY NADOLNY, LCSW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

563 PERSHING ST
CRAIG CO
81625-3005
US

IV. Provider business mailing address

PO BOX 1281
HAYDEN CO
81639-1281
US

V. Phone/Fax

Practice location:
  • Phone: 970-846-0492
  • Fax:
Mailing address:
  • Phone: 970-846-0492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number00000006
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: WENDY NADOLNY
Title or Position: OWNER, MEMBER
Credential: LCSW
Phone: 970-846-0492