Healthcare Provider Details

I. General information

NPI: 1982772455
Provider Name (Legal Business Name): WENDY ELLEN APPLETON M.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12935 VICTORIA
HUNTINGTON WOODS MI
48070-1718
US

IV. Provider business mailing address

12935 VICTORIA
HUNTINGTON WOODS MI
48070-1718
US

V. Phone/Fax

Practice location:
  • Phone: 248-542-6616
  • Fax:
Mailing address:
  • Phone: 248-542-6616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberL797728
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberL797728
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberL797728
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL797728
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: