Provider Demographics
NPI:1114299963
Name:HUEMMER, DOROTHY MELISSA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:MELISSA
Last Name:HUEMMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:D.
Other - Middle Name:MELISSA
Other - Last Name:HUEMMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:221 UNION ST
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3763
Mailing Address - Country:US
Mailing Address - Phone:919-414-0668
Mailing Address - Fax:
Practice Address - Street 1:221 UNION ST
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3763
Practice Address - Country:US
Practice Address - Phone:919-414-0668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0004901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical