Provider Demographics
NPI:1053687939
Name:DEMPSEY, VIRGINIA (MSW)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 BEECH AVE SE
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-5462
Mailing Address - Country:US
Mailing Address - Phone:256-737-1915
Mailing Address - Fax:256-734-3231
Practice Address - Street 1:1807 BEECH AVE SE
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-5462
Practice Address - Country:US
Practice Address - Phone:256-737-1915
Practice Address - Fax:256-734-3231
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2236B1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical