Provider Demographics
NPI:1518613231
Name:LIMMER, KADENE ELIZABETH (LMSW)
Entity Type:Individual
Prefix:
First Name:KADENE
Middle Name:ELIZABETH
Last Name:LIMMER
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 1:7039 SONG LAKE RD
Mailing Address - Street 2:
Mailing Address - City:TULLY
Mailing Address - State:NY
Mailing Address - Zip Code:13159-9205
Mailing Address - Country:US
Mailing Address - Phone:315-696-6931
Mailing Address - Fax:
Practice Address - Street 1:6676 POTTER RD
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-2016
Practice Address - Country:US
Practice Address - Phone:315-696-6931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY115330-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker