Provider Demographics
NPI:1003258195
Name:HEMMINGS, TRACEY N (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TRACEY
Middle Name:N
Last Name:HEMMINGS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7484 GOLD COAST LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-1443
Mailing Address - Country:US
Mailing Address - Phone:804-248-5677
Mailing Address - Fax:804-789-9332
Practice Address - Street 1:700 24TH ST
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:VA
Practice Address - Zip Code:23801-1716
Practice Address - Country:US
Practice Address - Phone:804-248-5677
Practice Address - Fax:804-789-9332
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040077761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical