Provider Demographics
NPI:1740565456
Name:JAMES, TERMESHA VERSHEL (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:TERMESHA
Middle Name:VERSHEL
Last Name:JAMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14614-1103
Mailing Address - Country:US
Mailing Address - Phone:585-414-5917
Mailing Address - Fax:
Practice Address - Street 1:68 CLINTWOOD CT APT G
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-6501
Practice Address - Country:US
Practice Address - Phone:585-414-5917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077953-1104100000X
NY0950621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker