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

William C Wennerholm, LCSW

Individual provider Mental Health Counselor · NPI 1912198128

William C Wennerholm, LCSW is a Mental Health Counselor in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
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

1660 Willow Creek Rd Ste B
Prescott, AZ 86301-1124
Phone: (928) 771-9424
Fax: (928) 717-1634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence AZ LCSW 1943 (AZ)

Record details

NPI number1912198128
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 5, 2007
Last updated in NPPESAugust 13, 2007

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