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

Wendi Lee Witherell, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134695604

Wendi Lee Witherell, LCSW is a Clinical Social Worker in Redlands, California. Qualified in 2022, 4 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1260 E Lugonia Ave Apt F
Redlands, CA 92374-2610
Phone: (909) 654-2245
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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 127553 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (CA)

Record details

NPI number1134695604
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 22, 2018
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025
Mailing address13340 California St Ste F, Yucaipa, CA 92399-5169

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Redlands