Provider Demographics
NPI:1821169749
Name:HEMMETT, MONICA C (RN LCSWR)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:C
Last Name:HEMMETT
Suffix:
Gender:F
Credentials:RN LCSWR
Other - Prefix:MRS
Other - First Name:MONICA
Other - Middle Name:B
Other - Last Name:CHASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:KATTSKILL BAY
Mailing Address - State:NY
Mailing Address - Zip Code:12844
Mailing Address - Country:US
Mailing Address - Phone:518-761-4698
Mailing Address - Fax:518-761-5696
Practice Address - Street 1:16 WAY NOTRE DAME ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12844
Practice Address - Country:US
Practice Address - Phone:518-761-4698
Practice Address - Fax:518-761-4698
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0481531104100000X
NY2851521163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
55836BMedicare ID - Type Unspecified
55836BMedicare UPIN