Provider Demographics
NPI:1821012469
Name:HEMPEN, CARLENE ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CARLENE
Middle Name:ANN
Last Name:HEMPEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CARLENE
Other - Middle Name:ANN
Other - Last Name:HAAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 N RUBY LN
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:62208-1926
Mailing Address - Country:US
Mailing Address - Phone:618-398-4226
Mailing Address - Fax:618-398-1759
Practice Address - Street 1:125 N RUBY LN
Practice Address - Street 2:
Practice Address - City:FAIRVIEW HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:62208-1926
Practice Address - Country:US
Practice Address - Phone:618-398-4226
Practice Address - Fax:618-398-1759
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical