Provider Demographics
NPI:1487430096
Name:HOLLINGER, WENDY T (LSW)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:T
Last Name:HOLLINGER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:T
Other - Last Name:HOLLINGER-IGUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:44 LONGFELLOW AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-1502
Mailing Address - Country:US
Mailing Address - Phone:201-407-6844
Mailing Address - Fax:
Practice Address - Street 1:7 LINCOLN HWY STE 224
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3965
Practice Address - Country:US
Practice Address - Phone:617-379-0496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05884900104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker