Provider Demographics
NPI:1649414251
Name:NEMEC, MARIA E (LCSW-C)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:E
Last Name:NEMEC
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 LA CREEK CT
Mailing Address - Street 2:
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-4523
Mailing Address - Country:US
Mailing Address - Phone:443-618-5899
Mailing Address - Fax:
Practice Address - Street 1:200 WAYMONT CT
Practice Address - Street 2:STE 126 #13
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3413
Practice Address - Country:US
Practice Address - Phone:407-867-1368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD087831041C0700X
FLSW112501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical