Individual provider · Type 1 NPI

Wanda Mae Dettinger, LPC LSW

Social Worker · Charleston, WV

NPI number 1639196124 Active

Practice location

1418 A Maccorkle Ave SW
Charleston, WV 25303

Fax (304) 348-1262

Mailing address

PO Box 4009
Charleston, WV 25364-4009

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X1564 (WV)
Social Worker Primary 104100000XAP00938675 (WV)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1639196124

Wanda Mae Dettinger, LPC LSW's National Provider Identifier is 1639196124, issued on Jul 17, 2006. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Charleston, WV. The record was last updated on Sep 11, 2025.