Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE WISE GENDUSA, LICSW
Active Sole ProprietorMICHELLE WISE GENDUSA, LICSW is a Clinical Social Worker healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1598505513 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1598505513
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 28, 2024 (2.1831838006541 yrs)
- Last Updated
- Jan 26, 2025
- Licenses
-
LW60479720 (WA)22926-C (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3546 W GREYSTONE DR.FAYETTEVILLE, AR, 72764Browse AR providers · Browse ZIP 72764
- Phone
- 5094346386
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL KENT STRACENER | LCSW | 1124008545 |
| MRS. MARY KATHERINE WILLIAMS | L.C.S.W. | 1376501593 |
| CATHERINE TOTTEN | LCSW | 1699723437 |
| AMBER ADNEY JACKSON | LCSW | 1912944158 |
| CAMERON AMANDA MAGNESS | LCSW | 1629015771 |
| TAMMI LYNN HARRIS | LCSW | 1194762906 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.