Provider Demographics
NPI:1578696035
Name:TREMAIN, JOAN
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:TREMAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 3RD ST
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-1675
Mailing Address - Country:US
Mailing Address - Phone:302-545-0703
Mailing Address - Fax:
Practice Address - Street 1:9 3RD ST
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-1675
Practice Address - Country:US
Practice Address - Phone:302-545-0703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE5371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
11695262OtherCAQH
DE537OtherLCSW
28858OtherBCD, BOARD CERTIFIED DIPLOMATE, AMER. BOARD OF EXAMINERS IN CLINICAL SOCIAL WORK