Provider Demographics
NPI:1780919704
Name:SCHUTTE, WENDI (LCSW)
Entity type:Individual
Prefix:
First Name:WENDI
Middle Name:
Last Name:SCHUTTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:WENDI
Other - Middle Name:
Other - Last Name:SPITZIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:932 N RUTLEDGE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62702-3721
Mailing Address - Country:US
Mailing Address - Phone:217-788-3948
Mailing Address - Fax:217-527-3209
Practice Address - Street 1:932 N RUTLEDGE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62702-3721
Practice Address - Country:US
Practice Address - Phone:217-788-3948
Practice Address - Fax:217-527-3209
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490138171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL149013817OtherLCSW