Provider Demographics
NPI:1295798056
Name:STRUKY, WENDY JANE (LSW)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:JANE
Last Name:STRUKY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 STOYSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-6945
Mailing Address - Country:US
Mailing Address - Phone:814-445-6915
Mailing Address - Fax:
Practice Address - Street 1:419 STOYSTOWN RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-6945
Practice Address - Country:US
Practice Address - Phone:814-445-6915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW008003L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker