Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Wendy Susan Datlow, LICSW

Individual provider Social Worker · NPI 1679894653

Mrs. Wendy Susan Datlow, LICSW is a Social Worker in Los Angeles, California. Licensed in Washington. Registered with an NPI since 2010.

Licensed in
WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

12026 Goshen Ave Apt 8
Los Angeles, CA 90049-6326
Phone: (215) 528-7344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60907134 (WA)
Social Worker Taxonomy 104100000X

Record details

NPI number1679894653
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 14, 2010
Last updated in NPPESSeptember 2, 2024
Certification dateSeptember 2, 2024

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