Provider Demographics
NPI:1740408723
Name:THOMAS-KREMMER, NANCY (MS, LCSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:THOMAS-KREMMER
Suffix:
Gender:F
Credentials:MS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14301 COUNTY HIGHWAY B
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:WI
Mailing Address - Zip Code:54656-4509
Mailing Address - Country:US
Mailing Address - Phone:608-269-8656
Mailing Address - Fax:608-269-8935
Practice Address - Street 1:14301 COUNTY HIGHWAY B
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:WI
Practice Address - Zip Code:54656-4509
Practice Address - Country:US
Practice Address - Phone:608-269-8656
Practice Address - Fax:608-269-8935
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1720-123101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health