Provider Demographics
NPI:1225674443
Name:WEMETT, KERRI LEE MARGARETTA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:KERRI LEE
Middle Name:MARGARETTA
Last Name:WEMETT
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 1:722 WEILAND RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3957
Mailing Address - Country:US
Mailing Address - Phone:585-340-7428
Mailing Address - Fax:
Practice Address - Street 1:722 WEILAND RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-3957
Practice Address - Country:US
Practice Address - Phone:585-340-7428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102936-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker