Provider Demographics
NPI:1942899703
Name:DOGGETT, WEYNI MINA (LMSW)
Entity type:Individual
Prefix:MS
First Name:WEYNI
Middle Name:MINA
Last Name:DOGGETT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23798 FENTON ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-2911
Mailing Address - Country:US
Mailing Address - Phone:586-569-6609
Mailing Address - Fax:
Practice Address - Street 1:23798 FENTON ST
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-2911
Practice Address - Country:US
Practice Address - Phone:586-569-6609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-15
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801086527104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker