Provider Demographics
NPI:1073946513
Name:HEMENWAY, RONYA (LMSW)
Entity Type:Individual
Prefix:
First Name:RONYA
Middle Name:
Last Name:HEMENWAY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6747 HIGHWAY 52
Mailing Address - Street 2:
Mailing Address - City:NEW PLYMOUTH
Mailing Address - State:ID
Mailing Address - Zip Code:83655-5430
Mailing Address - Country:US
Mailing Address - Phone:208-739-0262
Mailing Address - Fax:
Practice Address - Street 1:5700 E FRANKLIN RD STE 220G
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-7903
Practice Address - Country:US
Practice Address - Phone:208-953-1109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-35521104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker