Provider Demographics
NPI:1609195742
Name:WERKMEISTER, DOROTHY ANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:ANN
Last Name:WERKMEISTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:DOROTHY
Other - Middle Name:CLEMENTS
Other - Last Name:WERKMEISTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5348 7 LKS W
Mailing Address - Street 2:
Mailing Address - City:WEST END
Mailing Address - State:NC
Mailing Address - Zip Code:27376-9334
Mailing Address - Country:US
Mailing Address - Phone:910-400-5050
Mailing Address - Fax:
Practice Address - Street 1:119 SMATHERS DRIVE
Practice Address - Street 2:
Practice Address - City:WEST END
Practice Address - State:NC
Practice Address - Zip Code:27376
Practice Address - Country:US
Practice Address - Phone:910-400-5050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002718101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional